ALYSON LOPEZ (MA, LPCC) – Professional Counselor, NPI 1023765567

ALYSON LOPEZ (MA, LPCC) is a healthcare provider. based in Grand rapids, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MA, LPCC. They hold a License No. 3221 (MN). The NPI Number for ALYSON LOPEZ (MA, LPCC) is 1023765567

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
ALYSON LOPEZ (MA, LPCC)
NPI
1023765567
Phone
(218) 348-5643
Address
710 ALLEN DR
Enumeration Date
4 March 2022
Last Update Date
11 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2183271151
Graduation Year
1994 (32 years ago)
PAC ID
9032631395
Group Practice PAC ID
1153389242
Professional Enrollment ID
I20250317002601
Address ID
MN557443615GR215XXAVEX400
Telehealth
Yes

Contacts

Other Endpoint
northlandcounseling.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Other namesUpdated within 12 months

1,813 MENTAL HEALTH COUNSELOR in MN

Provider Addresses for ALYSON LOPEZ (MA, LPCC)

  • 710 ALLEN DR

    GRAND RAPIDS, MN 557443000

    Phone: (218) 348-5643

    Type: Location

  • 215 SE 2ND AVE

    GRAND RAPIDS, MN 557443615

    Phone: (218) 326-1274

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250317002601IMental Health CounselorMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55744)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153389242View full group profile
NameSpecialtyState
Clinical Social WorkerMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Clinical PsychologistMN
Mental Health CounselorWI
Mental Health CounselorMN
Marriage And Family TherapistMN
Marriage And Family TherapistMN
Mental Health CounselorMN
Nurse PractitionerMN

Reviews

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Frequently asked questions

What is the registry number for ALYSON LOPEZ (MA, LPCC)?
The registry entry for ALYSON LOPEZ (MA, LPCC) shows NPI 1023765567.
Is ALYSON LOPEZ (MA, LPCC) currently accepting referrals based on NPI status?
Registry metadata lists ALYSON LOPEZ (MA, LPCC) as active.
What type of care does ALYSON LOPEZ (MA, LPCC) provide?
ALYSON LOPEZ (MA, LPCC)'s profile centers on Professional Counselor. Clinical services aligned with this taxonomy classification.
Can patients visit ALYSON LOPEZ (MA, LPCC) in Grand Rapids, Minnesota?
For routing, start with Grand Rapids, Minnesota for ALYSON LOPEZ (MA, LPCC), then verify phone and hours locally.
Why is information missing for ALYSON LOPEZ (MA, LPCC)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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