ELISIA LOPEZ-MENDIOLA LCSW QMHP NPI 1528371358

NPI Information

NPI: 1528371358
Provider Name: ELISIA LOPEZ-MENDIOLA, LCSW, QMHP
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
12121 E BURNSIDE ST
PORTLAND, OR
ZIP 97216
Phone: (971) 361-7764
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Elisia Lopez-mendiola, LCSW, QMHP is a professional counselor in Portland, OR. Elisia Lopez-mendiola, LCSW, QMHP NPI is 1528371358. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12121 E BURNSIDE ST
PORTLAND, OR
ZIP 97216-737
Phone: (971) 361-7764

The NPI 1528371358 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 7/21/2010 and was last updated on 9/17/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			No
2	390200000X	Student in an Organized Health Care Education/Training Program				No
3	101YP2500X	Counselor	Professional	L8223	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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