ELENA LOPEZ FAVELA NACA PHD
NPI 1730806209
Counselor - Professional in Minneapolis, MN

Active since October 25, 2022PECOS EnrolledAccepts Medicare Assignment
4622 OLIVER AVE N, MINNEAPOLIS, MN 55412(210) 633-4360 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 1, 2026, Oct 25, 2022 (2 updates tracked since 2022).

About Elena Lopez Favela Naca Phd NPPES

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

ELENA LOPEZ FAVELA NACA PHD (NPI 1730806209) is an individual professional provider in Minneapolis, Minnesota and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mendota Heights, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1730806209
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameELENA LOPEZ FAVELA NACACredential: PHD
Location Address4622 OLIVER AVE NMinneapolis, MN 55412-1127
Mailing Address310 Clifton AveMinneapolis, MN 55403-3218 · (612) 223-8899
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 25, 2022
Last NPPES UpdateMay 1, 20262 updates tracked since enumeration
NPPES CertifiedMay 1, 2026
NPI 1730806209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
4622 OLIVER AVE N, Minneapolis, MN 55412

Secondary Practice Location 1

Location 11345 Mendota Heights Rd Ste 600Mendota Heights, MN 55120-2006 · Phone (651) 313-8080

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

Elena Lopez Favela Naca Phd 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 ID3173003654
PECOS Enrollment IDI20260213002911
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.

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 Elena Favela Naca's NPI number?

The NPI number for Elena Favela Naca is 1730806209. It was assigned to this individual provider in the NPPES registry on October 25, 2022.

Where is Elena Favela Naca located?

Elena Favela Naca practices at 4622 Oliver Ave N, Minneapolis, MN 55412. The listed phone number is (210) 633-4360.

What is Elena Favela Naca's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Elena Favela Naca enrolled in Medicare?

Yes. Elena Favela Naca 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.

When was this NPI record last updated?

The NPPES record for Elena Favela Naca was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.