ELLORY MICAELA WOLIN LOPEZ MS, LCGC
NPI 1598458275
Genetic Counselor, MS in Minneapolis, MN

Active since May 30, 2023
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454(612) 672-6667 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 10, 2024, May 30, 2023 (2 updates tracked since 2023).

About Ellory Micaela Wolin Lopez Ms, Lcgc NPPES

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

ELLORY MICAELA WOLIN LOPEZ MS, LCGC (NPI 1598458275) is an individual genetic counselor, ms provider in Minneapolis, Minnesota and active in the NPI registry since May 2023. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1598458275
Entity TypeIndividualFemale
Primary Taxonomy170300000X
Provider Legal NameELLORY MICAELA WOLIN LOPEZCredential: MS, LCGC
Location Address2450 RIVERSIDE AVEMinneapolis, MN 55454-1450
Mailing Address606 24th Ave S Ste 400Minneapolis, MN 55454-1517
Sole ProprietorYes
Enumeration DateMay 30, 2023
Last NPPES UpdateDecember 10, 20242 updates tracked since enumeration
NPPES CertifiedDecember 10, 2024
NPI 1598458275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGenetic Counselor, MSOther Service Providers
Taxonomy Code170300000X
Definition
A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states.
2450 RIVERSIDE AVE, Minneapolis, MN 55454

Secondary Practice Locations 3

Location 11655 Beam Ave Ste 302Maplewood, MN 55109-1477 · Phone (651) 326-7199
Location 26545 France Ave S Ste 250Edina, MN 55435-2118 · Phone (952) 924-5250
Location 3303 E Nicollet Blvd Ste 363Burnsville, MN 55337-4594 · Phone (952) 892-2270

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Rehabilitation Practitioner
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Pediatrics
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Internal Medicine (Geriatric Medicine)
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Dietitian, Registered
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Nurse Practitioner (Pediatrics, Critical Care)
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Internal Medicine
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Physician Assistant
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Nurse Anesthetist, Certified Registered
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454

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 Ellory Lopez's NPI number?

The NPI number for Ellory Lopez is 1598458275. It was assigned to this individual provider in the NPPES registry on May 30, 2023.

Where is Ellory Lopez located?

Ellory Lopez practices at 2450 Riverside Ave, Minneapolis, MN 55454. The listed phone number is (612) 672-6667.

What is Ellory Lopez's specialty?

The primary specialty registered for this NPI is Genetic Counselor, MS with taxonomy code 170300000X.

What insurance does Ellory Lopez accept?

Health plans from Medica and Sanford Health Plan list Ellory 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 Ellory Lopez was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.