KEITH ALBERT LOPEZ (NPI# 1457610214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457610214 |
| Entity Type | Individual |
| Full Name | KEITH ALBERT LOPEZ |
| Credential | LAC |
| Practice Address |
307 E Park Ave Suite 207b Anaconda MT 59711-2320 |
| Mailing Address |
T9 Fort Missoula Missoula MT 59804-7298 |
| Practice Telephone | 4065637197 |
| Practice Fax Number | 4065637685 |
| Mailing Telephone | 4065328400 |
| Mailing Fax Number | 4065439316 |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2012-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
14111 | MT | Behavioral Health & Social Service Providers |
| Street Address |
307 E PARK AVE SUITE 207B |
| City | ANACONDA |
| State | MT |
| Zip Code | 59711-2320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235144080 | Cheryl H D'remy | Counselor | 307 E Park Ave, Suite 211, Anaconda, MT 59711-2342 | 2006-07-30 |
| 1598202475 | Randal Mcintyre | Counselor | 307 E Park Ave, Suite 211, Anaconda, MT 59711-2320 | 2017-01-30 |
| 1750610556 | Ocf West Group Inc | General Practice | 307 E Park Ave, Anaconda, MT 59711-2320 | 2009-12-08 |
| 1447480678 | Katherine A. Sims Slocum | Dentist | 307 E Park Ave, Suite 308, Anaconda, MT 59711-2320 | 2009-07-22 |
| 1164673497 | Olc, LLC | Chiropractor | 307 E Park Ave, Suite 204, Anaconda, MT 59711-2320 | 2008-10-06 |
| 1700056132 | Ocf West Group Inc | Surgery | 307 E Park Ave, Anaconda, MT 59711-2342 | 2008-02-29 |
| 1043363112 | Mary Ellen Burton | Chiropractor | 307 E Park Ave, Ste 204, Anaconda, MT 59711-2351 | 2007-01-19 |
| 1861587818 | John E Moore | General Practice | 307 E Park Ave, Anaconda, MT 59711-2342 | 2006-10-04 |
| 1760596316 | Michelle C. Beausoleil | Licensed Practical Nurse | 307 E Park Ave, Suite 211, Anaconda, MT 59711-2342 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790398725 | Wendra Ann Wendt | Massage Therapist | 1608 Ogden St, Anaconda, MT 59711 | 2020-08-28 |
| 1104325372 | Pintler Pharmacy Inc. | Pharmacy | 203 East Park, Anaconda, MT 59711 | 2018-02-02 |
| 1871045591 | Austin Peaslee | Behavioral Analyst | 205 East Park, Anaconda, MT 59711 | 2016-10-28 |
| 1356765747 | William Leroy Foster Jr. | Counselor | 1250 Harrison Ave, Butte, MT 59711 | 2014-02-06 |
| 1346464310 | Cheryl Anne Dunn | Speech-Language Pathologist | 1771 Obsidian Lane, Anaconda, MT 59711 | 2007-04-12 |
| 1043304504 | Gerianne Roberta Marchion | Counselor | 307 E Park Ave. #208, Anaconda, MT 59711 | 2006-10-02 |
| 1427153881 | Community Hospital of Anaconda | Internal Medicine | 401 W Pennsylvania, Anaconda, MT 59711 | 2006-09-13 |
| 1851301121 | Renee S. Riley-finnegan | Counselor | 307 E. Park Glacier Bank Bldg., Ste. 310a, Anaconda, MT 59711 | 2006-08-09 |
| 1942234513 | Richard Roy Jensen | Physical Therapist | 3383 Lost Creek Rd, Anaconda, MT 59711 | 2006-07-10 |
| 1982656229 | William M Reiter | Internal Medicine | 606 E Park Ave, Anaconda, MT 59711 | 2006-05-16 |
| Find all providers in zip 59711 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396077541 | Marcella E Grayson | Counselor | 112 E Commercial Ave, Anaconda, MT 59711-2245 | 2010-02-12 |
| 1598202475 | Randal Mcintyre | Counselor | 307 E Park Ave, Suite 211, Anaconda, MT 59711-2320 | 2017-01-30 |
| 1033564794 | Marcia Slosson | Counselor | 504 Pine St, Anaconda, MT 59711-2845 | 2016-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208957 | Tammara Ann Rosenleaf | Counselor | 25 South Ewing St, Suite 525, Helena, MT 59601 | 2020-09-04 |
| 1861004863 | Kevin Sean Stewart | Counselor | 22 W Park St, Butte, MT 59701-1714 | 2020-08-20 |
| 1689292351 | Cassandra Pendill | Counselor | 1700 S 72nd St W, Billings, MT 59106-3538 | 2020-07-09 |
| 1700402336 | Stephanie Diane Adkins | Counselor | 1726 Lampman Dr., Billings, MT 59102 | 2020-06-19 |
| 1831714963 | Aaron Anciaux | Counselor | 25155 Thompson Dr, Huson, MT 59846-8518 | 2020-06-15 |
| 1770108904 | Adrian Sagan Pllc | Counselor | 21 N Last Chance Gulch Ste 202, Helena, MT 59601-4108 | 2020-06-12 |
| 1427673177 | Jaye Daniele Hellerud | Counselor | 2120 3rd Ave N, Billings, MT 59101-2212 | 2020-06-09 |
| 1538797808 | Meira Aliza Alon | Counselor | 614 S 11th Ave, Bozeman, MT 59715-4368 | 2020-03-31 |
| 1699309997 | Sara Hepburn Lombardi-thorman | Counselor | 709 Park Ave, Whitefish, MT 59937-2831 | 2020-02-25 |
| 1265066500 | Masc LLC | Counselor | 491 Shaw Gulch Lane, Superior, MT 59872-0214 | 2020-02-25 |
| Find all providers with the same taxonomy | ||||
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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.