THERESA LOPEZ
NPI 1730638693
Marriage & Family Therapist in Redlands, CA

Q: What is Theresa Lopez's NPI number?

The NPI number for Theresa Lopez is 1730638693. It was assigned to this individual provider in the NPPES registry on October 3, 2016. The provider is also known as Theresa Lopez Amft.

Q: What is Theresa Lopez's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Theresa Lopez enrolled in Medicare?

No. Theresa Lopez has opted out of Medicare through February 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Theresa Lopez was last updated on April 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since October 03, 2016Opted out of Medicare · through Feb 1, 2028

1812 W PARK AVE, REDLANDS, CA 92373(909) 748-0259 Get Directions Write a Review

NPPES record last updated: April 6, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Theresa Lopez NPPES

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

THERESA LOPEZ (NPI 1730638693) is an individual marriage & family therapist in Redlands, California, licensed in California (101460) and active in the NPI registry since October 2016. She has opted out of Medicare through February 1, 2028.

NPPES Registry Identity

NPI1730638693

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameTHERESA LOPEZ

Location Address1812 W PARK AVERedlands, CA 92373-8014

Mailing Address1812 W Park AveRedlands, CA 92373-8014 · (909) 748-0259

Phone(909) 748-0259

Sole ProprietorYes

Enumeration DateOctober 3, 2016

Last NPPES UpdateApril 6, 2018

✔ NPI 1730638693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 101460

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1812 W PARK AVE, Redlands, CA 92373

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Other Names 1

Professional Name (2)Theresa Lopez Amft

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Theresa Lopez has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 1, 2024 through February 1, 2028.

Opt-Out Effective DateFebruary 1, 2024

Opt-Out In Effect ThroughFebruary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 18

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

ADINA P. SILVA MFT

Marriage & Family Therapist