CRISTA LOPEZ MA
NPI 1962087684
Counselor in Fairfax, VA

Q: What is Crista Lopez's NPI number?

The NPI number for Crista Lopez is 1962087684. It was assigned to this individual provider in the NPPES registry on March 15, 2021.

Q: What is Crista Lopez's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: Is Crista Lopez enrolled in Medicare?

No. Crista Lopez has opted out of Medicare through June 13, 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 Crista Lopez was last updated on December 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 March 15, 2021Opted out of Medicare · through Jun 13, 2028

10379B DEMOCRACY LN, FAIRFAX, VA 22030(703) 591-2551 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 3, 2021, Mar 15, 2021 (2 updates tracked since 2021).

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About Crista Lopez Ma NPPES

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

CRISTA LOPEZ MA (NPI 1962087684) is an individual counselor in Fairfax, Virginia and active in the NPI registry since March 2021. She has opted out of Medicare through June 13, 2028.

NPPES Registry Identity

NPI1962087684

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameCRISTA LOPEZCredential: MA

Location Address10379B DEMOCRACY LNFairfax, VA 22030-2505

Mailing Address25099 Croxley Green SqAldie, VA 20105-5672 · (571) 225-9563

Phone(703) 591-2551

Sole ProprietorNo

Enumeration DateMarch 15, 2021

Last NPPES UpdateDecember 3, 20212 updates tracked since enumeration

NPPES CertifiedDecember 3, 2021

✔ NPI 1962087684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 0704013702 (VA)

10379B DEMOCRACY LN, Fairfax, VA 22030

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Crista Lopez Ma 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 June 13, 2024 through June 13, 2028.

Opt-Out Effective DateJune 13, 2024

Opt-Out In Effect ThroughJune 13, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

MRS. THERESA M. SHALTANIS M.A., LPC, LMFT

Counselor (Professional)