JENNIFER LOPEZ (NPI# 1053772228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053772228 |
| Entity Type | Individual |
| Full Name | JENNIFER LOPEZ |
| Practice Address |
1021 W 9th St The Dalles OR 97058-1007 |
| Mailing Address |
3587 Heathrow Way Medford OR 97504-4004 |
| Practice Telephone | 5412981920 |
| Practice Fax Number | 5412981917 |
| Mailing Telephone | 5418588170 |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2016-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801422852 | Jennifer Anne Lopez | Counselor | 10010 Reseda Blvd Unit D, Northridge, CA 91324-1495 | 2020-03-20 |
| 1578193348 | Jennifer Lopez | Dietitian, Registered | 8640 Sudley Rd Ste 108, Manassas, VA 20110-4404 | 2020-01-21 |
| 1346897147 | Jennifer Lopez | Behavior Technician | 555 Alton Blvd Suite 150, Costa Mesa, CA 92626 | 2019-08-26 |
| 1356901623 | Jennifer Knickerbocker Lopez | Physician Assistant | 5702 Saintsbury Dr Apt 123, The Colony, TX 75056-5488 | 2019-06-18 |
| 1841757085 | Jennifer Te Lopez | Nurse Practitioner | 2201 E 23rd St, Mission, TX 78572-3277 | 2019-02-25 |
| 1568940799 | Jennifer Lopez | Specialist/Technologist | 10114 Winsford Oak Blvd Apt 511, Tampa, FL 33624-5164 | 2018-07-31 |
| 1508356627 | Jennifer Lopez | Nurse Practitioner | 3563 Altis Cir S Unit 15201, Hialeah, FL 33018-6087 | 2018-05-14 |
| 1366950453 | Jennifer Jean Lopez | Specialist/Technologist | 8770 W Lane Ave, Glendale, AZ 85305-3972 | 2018-01-11 |
| 1346794286 | Jennifer Elise Lopez | Dietitian, Registered | 6448 Carousel Dr, Watauga, TX 76148-2815 | 2016-08-09 |
| 1447622519 | Jennifer Lopez | Behavioral Analyst | 448 W 153rd St Apt 21, New York, NY 10031-1135 | 2015-10-28 |
| Street Address |
1021 W 9TH ST |
| City | THE DALLES |
| State | OR |
| Zip Code | 97058-1007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811078165 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 1021 W 9th St, The Dalles, OR 97058-1007 | 2006-10-17 |
| 1124637954 | Sierra Dawn Lock | Counselor | 1021 W 9th St, The Dalles, OR 97058-1007 | 2020-07-28 |
| 1811519945 | Melissa Kay Ash | Counselor | 1021 W 9th St, The Dalles, OR 97058-1007 | 2020-05-12 |
| 1992337646 | Caitlan Anne Hefner | Counselor | 1021 W 9th St, The Dalles, OR 97058-1007 | 2020-02-11 |
| 1689211260 | Maria Del Rocio Reyes Patino | Counselor | 1021 W 9th St, The Dalles, OR 97058-1007 | 2019-12-03 |
| 1326682139 | Elsherie Faataga Long | Counselor | 1021 W 9th St, The Dalles, OR 97058-1007 | 2019-11-05 |
| 1881243020 | Tara A Phillips | Counselor | 1021 W 9th St, The Dalles, OR 97058-1007 | 2019-09-10 |
| 1366091506 | Jadin T Nipko | Counselor | 1021 W 9th St, The Dalles, OR 97058-1007 | 2019-09-10 |
| 1811456031 | Danielle A Taylor | Counselor | 1021 W 9th St, The Dalles, OR 97058-1007 | 2019-03-18 |
| 1992278469 | James R Maxwell | Counselor | 1021 W 9th St, The Dalles, OR 97058-1007 | 2019-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538646864 | Ashlee Kai Mcnamara | Behavior Technician | 2525 W 8th St., #34, The Dalles, OR 97058 | 2018-07-19 |
| 1548784689 | Mireya Moreno Ibarra | Behavior Technician | 401 East 3rd Street, Suite 101, The Dalles, OR 97058 | 2017-07-31 |
| 1407304991 | Joshua Seidel | Pharmacist | 515 Mt Hood St, The Dalles, OR 97058 | 2016-09-14 |
| 1366809048 | Mid-columbia Medical Center | Surgery | 1810 E. 19th St. #225, The Dalles, OR 97058 | 2016-01-26 |
| 1558731141 | Louise Goodnight | Case Manager/Care Coordinator | 419 East 7 Th Street, The Dalles, OR 97058 | 2015-09-25 |
| 1578944666 | Jessica Donnell | Dental Hygienist | 2529 E 12th St, The Dalles, OR 97058 | 2015-06-15 |
| 1487034328 | Savanna Schaan | Specialist | 609 W 14th St, The Dalles, OR 97058 | 2015-06-05 |
| 1801299102 | Mary E Zenorini | Social Worker | 1620 E. 12th St, The Dalles, OR 97058 | 2014-09-30 |
| 1669889143 | Diane Joan Irwin | Social Worker | 419 E 7th St #207, The Dalles, OR 97058 | 2014-07-17 |
| 1124452008 | Lacey A Nichols | Counselor | 312 E. Third St., The Dalles, OR 97058 | 2013-08-27 |
| Find all providers in zip 97058 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710302500 | Kara Billings | Counselor | 420 W 12th St, The Dalles, OR 97058-1563 | 2014-03-03 |
| 1285067645 | Jonathan Chiaravalle | Counselor | 502 Washington St Ste 208, The Dalles, OR 97058-2270 | 2013-08-20 |
| 1124637954 | Sierra Dawn Lock | Counselor | 1021 W 9th St, The Dalles, OR 97058-1007 | 2020-07-28 |
| 1811519945 | Melissa Kay Ash | Counselor | 1021 W 9th St, The Dalles, OR 97058-1007 | 2020-05-12 |
| 1992337646 | Caitlan Anne Hefner | Counselor | 1021 W 9th St, The Dalles, OR 97058-1007 | 2020-02-11 |
| 1831720614 | June Gower | Counselor | 1060 Webber St, The Dalles, OR 97058-3749 | 2020-01-30 |
| 1689211260 | Maria Del Rocio Reyes Patino | Counselor | 1021 W 9th St, The Dalles, OR 97058-1007 | 2019-12-03 |
| 1326682139 | Elsherie Faataga Long | Counselor | 1021 W 9th St, The Dalles, OR 97058-1007 | 2019-11-05 |
| 1730722919 | Alexandra Ruth Lopez De Haro | Counselor | 1060 Webber St, The Dalles, OR 97058-3749 | 2019-10-21 |
| 1881243020 | Tara A Phillips | Counselor | 1021 W 9th St, The Dalles, OR 97058-1007 | 2019-09-10 |
| Find all providers in THE DALLES | ||||
| City | THE DALLES |
| Zip Code | 97058 |
Please comment or provide details below to improve the information on JENNIFER LOPEZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.