MARY LOPEZ M.A.
NPI 1447664362
Counselor - Mental Health in Portland, OR

Active since June 18, 2014PECOS EnrolledAccepts Medicare Assignment
4212 SE DIVISION ST, SUITE 100, PORTLAND, OR 97206(503) 238-0705 Get Directions Write a Review

NPPES record last updated: November 17, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Lopez M.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY LOPEZ M.A. (NPI 1447664362) is an individual mental health provider in Portland, Oregon and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1447664362
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARY LOPEZCredential: M.A.
Location Address4212 SE DIVISION ST, SUITE 100Portland, OR 97206-1628
Mailing AddressPo Box 8459Portland, OR 97207-8459 · (503) 238-0769
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 18, 2014
Last NPPES UpdateNovember 17, 2014
NPI 1447664362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4212 SE DIVISION ST, Portland, OR 97206

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mary Lopez M.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406207216
PECOS Enrollment IDI20240716003189
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
4212 SE DIVISION ST, SUITE 100
PORTLAND, OR 97206
Counselor (Mental Health)
4212 SE DIVISION ST
PORTLAND, OR 97206
Clinic/Center (Federally Qualified Health Center (FQHC))
4212 SE DIVISION ST
PORTLAND, OR 97206
Counselor (Mental Health)
4212 SE DIVISION ST
PORTLAND, OR 97206
Social Worker (Clinical)
4212 SE DIVISION ST
PORTLAND, OR 97206
Counselor (Mental Health)
4212 SE DIVISION ST, SUITE 100
PORTLAND, OR 97206
Counselor (Mental Health)
4212 SE DIVISION ST, SUITE 100
PORTLAND, OR 97206
Community Health Worker
4212 SE DIVISION ST, SUITE 100
PORTLAND, OR 97206

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Lopez's NPI number?

The NPI number for Mary Lopez is 1447664362. It was assigned to this individual provider in the NPPES registry on June 18, 2014.

Where is Mary Lopez located?

Mary Lopez practices at 4212 SE Division St Suite 100, Portland, OR 97206. The listed phone number is (503) 238-0705.

What is Mary Lopez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Mary Lopez enrolled in Medicare?

Yes. Mary Lopez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mary Lopez accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Mary Lopez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Lopez was last updated on November 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.