CAROLYN M LOPEZ (NPI# 1366757106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366757106 |
| Entity Type | Individual |
| Full Name | CAROLYN M LOPEZ |
| Credential | BA |
| Practice Address |
3830 S Cushman St Fairbanks AK 99701-7530 |
| Practice Telephone | 9074521575 |
| Practice Fax Number | 9074555287 |
| Mailing Telephone | 9074521575 |
| Mailing Fax Number | 9074555287 |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2010-08-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MH0157 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053774067 | Carolyn Lopez | Pharmacy Technician | Hc 75 Box 1307, Naranjito, PR 00719-9725 | 2016-03-29 |
| 1528336773 | Carolyn V Lopez | Physical Therapist | 4811 Tudor Drive, Pompton Plains, NJ 07444-1126 | 2011-12-02 |
| 1053457440 | Carolyn Catherine Lopez | Family Medicine | 2906 W Wilson Ave, Chicago, IL 60625-3727 | 2007-01-30 |
| 1851437180 | Carolyn Calhoun Lopez | Speech-Language Pathologist | 1252 South 118 Ave., Avondale, AZ 85323 | 2007-01-30 |
| 1194985085 | Carolyn Ann Lopez | Registered Nurse | 95 Franklin St, Buffalo, NY 14202-3925 | 2008-06-13 |
| 1508807629 | Carolyn Maria Lopez | Psychologist | 35400 Bob Hope Dr, Rancho Mirage, CA 92270-1708 | 2006-06-09 |
| Street Address |
3830 S CUSHMAN ST |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701-7530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235265430 | Bonnie Abbey | Counselor | 3830 S Cushman St, Fairbanks, AK 99701-7530 | 2007-02-24 |
| 1902252570 | Laquawna M Baker | Social Worker | 3830 S Cushman St, Fairbanks, AK 99701-7530 | 2016-05-12 |
| 1710332713 | Akeela Inc | Community/Behavioral Health | 3830 S Cushman St, Fairbanks, AK 99701-7530 | 2016-04-27 |
| 1043679889 | Cara Hollingsworth | Registered Nurse | 3830 S Cushman St, Fairbanks, AK 99701-7530 | 2016-02-22 |
| 1700250917 | Danielle Denise Nelson | Counselor | 3830 S Cushman St, Fairbanks, AK 99701-7530 | 2015-11-25 |
| 1265800379 | Michaela Cameron | Counselor | 3830 S Cushman St, Fairbanks, AK 99701-7530 | 2015-09-04 |
| 1093183220 | Susanne Jenemann | Marriage & Family Therapist | 3830 S Cushman St, Fairbanks, AK 99701-7530 | 2015-09-03 |
| 1972987998 | Fairbanks Community Mental Health Services, LLC | Psychologist | 3830 S Cushman St, Fairbanks, AK 99701-7530 | 2015-07-20 |
| 1689071441 | Catherine Jibben | Registered Nurse | 3830 S Cushman St, Fairbanks, AK 99701-7530 | 2014-11-21 |
| 1396141834 | Jessica Mckay | Social Worker | 3830 S Cushman St, Fairbanks, AK 99701-7530 | 2014-11-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
| 1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
| 1437715505 | Fabienne Rose Marie Siddall | Case Manager/Care Coordinator | 122 1st Avenue, Fairbanks, AK 99701 | 2019-05-14 |
| 1902461957 | Jacqueline Marie Rahm | Counselor | Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 | 2019-05-06 |
| 1821588989 | Corrie Wilson | Nurse Practitioner | 1025 Barnette Street, Fairbanks, AK 99701 | 2018-05-15 |
| 1922519305 | Sarishma Sangeeta Lal | Registered Nurse | 815 2nd Ave Ste 122, Fairbanks, AK 99701 | 2017-10-12 |
| 1245690569 | Christine L Simko | Naturopath | 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 | 2016-02-29 |
| 1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
| 1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
| 1578957460 | Mara Justine Becker | Physician Assistant | 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 | 2015-03-27 |
| Find all providers in zip 99701 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003231739 | Susan E Stanton | Counselor | 480 University Ave, Fairbanks, AK 99709-3639 | 2014-03-04 |
| 1144591330 | Larry Chalcraft II | Counselor | 1825 Marika, Fairbanks, AK 99709-5521 | 2012-01-19 |
| 1174849632 | Stephanie Majors | Counselor | 477 Marshall Dr, Fairbanks, AK 99712-1333 | 2010-04-08 |
| 1215266648 | Judith Gottschalk | Counselor | 2737 Bonanza Trail, Fairbanks, AK 99708-5091 | 2009-12-14 |
| 1194857326 | Jennifer Ann Danhauser | Counselor | 565 University Ave., Ste. #4, Fairbanks, AK 99709-3688 | 2007-03-12 |
| 1568593556 | Miriam Anne Titus | Counselor | 201 1st Ave Ste 300, Fairbanks, AK 99701-4848 | 2007-03-08 |
| 1679613889 | Joan Soutar | Counselor | 620 5th Ave, Fairbanks, AK 99701 | 2007-02-07 |
| 1194862128 | Margaret A Dodge | Counselor | 1417 Mac Farland, Fairbanks, AK 99709-7530 | 2007-01-31 |
| 1780721001 | George Roy Kirchner Jr. | Counselor | 626 2nd St Ste 201a, Fairbanks, AK 99701-3466 | 2007-01-30 |
| 1851447973 | Ligia Maria Novcaski | Counselor | 620 5th Avenue, Fairbanks, AK 99701 | 2007-01-25 |
| Find all providers in FAIRBANKS | ||||
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| 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.