Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003439001 Individual Practitioner Female Practitioner

Katrina Lopez

Peer Specialist • Plattsburgh, NY

Professional Overview & Biography Verified Profile Summary

Katrina Lopez is a registered healthcare professional specializing in Peer Specialist in Plattsburgh, NY. Practice services are available at 80 SHARRON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

80 Sharron Ave

Plattsburgh, NY 129014700

Telephone 5185611447
Associated Practice Facility / Clinic
🏢 Conifer Park, Inc. Facility NPI 1346296720

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Plattsburgh, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Plattsburgh, NY (1559 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-07-24
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License NY 4556

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jared Croy , CIT

Counselor - Addiction (Substance Use Disorder)

NPI 1023441177
Cory Ryan

Peer Specialist

NPI 1033056171
Patrick Mccormick , CASC-T

Counselor - Addiction (Substance Use Disorder)

NPI 1033778139

CASCT

James Facteau

Counselor - Addiction (Substance Use Disorder)

NPI 1073912648
Lisa Sears-Bowlen

Counselor - Addiction (Substance Use Disorder)

NPI 1124259825
Elizabeth Manor

Counselor - Addiction (Substance Use Disorder)

NPI 1144483066

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address July 24, 2024

Registered at 11 STATION ST, ALTONA, NY 129102028

NPI Profile Active May 26, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location May 26, 2020

Registered at 80 SHARRON AVE, PLATTSBURGH, NY 129014700 (Tel: 5185611447)

📍
Updated Business Mailing Address May 26, 2020

Registered at 79 GLENRIDGE RD, GLENVILLE, NY 123024523

👤
Provider Name / Credentials Updated May 26, 2020

Recorded as KATRINA LOPEZ

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 26, 2020

Counselor (License #4556 in NY)

🟢
Initial NPI Registration & Enumeration May 26, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003439001
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 26, 2020
Last Update: July 24, 2024
Sole Proprietor: No

Mailing Address

11 Station St

Altona, NY 129102028

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.