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Active NPI 1306239330 Individual Practitioner Male Practitioner

Dr. Jeffery Thomas Lopez , PhD

Counselor • West Linn, OR

Professional Overview & Biography Verified Profile Summary

Dr. Jeffery Lopez, PhD is a registered healthcare professional specializing in Counselor in West Linn, OR. Practice services are available at 1701 SHADOW WOOD DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1701 Shadow Wood Dr

West Linn, OR 970689746

Telephone 5037086866

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in West Linn, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.6 Yrs
Regional Practice Density
6 Specialists

Practicing in West Linn, OR (4551 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: 2026-03-06
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License OR C4623

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
500673381 (OR)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location March 06, 2026

Registered at 1701 SHADOW WOOD DR, WEST LINN, OR 970689746 (Tel: 5037086866)

📍
Updated Business Mailing Address March 06, 2026

Registered at 1701 SHADOW WOOD DR, WEST LINN, OR 970689746 (Tel: 5037086866)

👤
Provider Name / Credentials Updated March 06, 2026

Recorded as JEFFERY LOPEZ, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2026

Counselor (License #C4623 in OR)

✅
NPI Profile Active March 16, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location March 16, 2015

Registered at 617 NE DAVIS ST, MCMINNVILLE, OR 971284716 (Tel: 5034724020)

📍
Updated Business Mailing Address March 16, 2015

Registered at 617 NE DAVIS ST, MCMINNVILLE, OR 971284716 (Tel: 5034724020)

👤
Provider Name / Credentials Updated March 16, 2015

Recorded as JEFFERY LOPEZ, MA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2015

Counselor

🟢
Initial NPI Registration & Enumeration March 16, 2015

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: 1306239330
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 16, 2015
Last Update: March 06, 2026
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

1701 Shadow Wood Dr

West Linn, OR 970689746

Phone: 5037086866

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.