Individual provider Active NPI

Carla Brinkerhoff Lopez, LMHC

  • Mental Health Counselor
  • Fort Lauderdale, FL
National Provider Identifier
1033553672
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8045 Issued in FL
Practice address
3600 N Ocean Blvd FL 2
Fort Lauderdale, FL 33308-6424
Phone
(954) 835-5741
Fax
(954) 835-5746
NPI assigned
Apr 25, 2013
Last updated
Apr 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 8045 FL
Addiction (Substance Use Disorder) Counselor 101YA0400X 8045 FL
Professional Counselor 101YP2500X 8045 FL
Mental Health Counselor 101YM0800X 8045 FL Primary

Addresses

Primary practice location

3600 N Ocean Blvd FL 2
Fort Lauderdale, FL 33308-6424

Mailing address

1527 NE 4TH Ave
Fort Lauderdale, FL 33304-1035
Phone (954) 835-5741

Other identifiers 1

IdentifierTypeStateIssuer
006640100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250430003281 FL Practitioner - Mental Health Counselor 6002144805 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8045FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cmet, LLC Counselor CurrentSince Mar 9, 2025 Accepting new patients

Locations

1527 NE 4th Ave
Ft Lauderdale, FL 33304
Phone (954) 835-5741

3600 N Ocean Blvd
Fl 2
Ft Lauderdale, FL 33308
Phone (954) 616-5088

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1033553672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 NE 4TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333041035",
            "telephone_number": "954-835-5741",
            "fax_number": "954-835-5746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 N OCEAN BLVD FL 2",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333086424",
            "telephone_number": "954-835-5741",
            "fax_number": "954-835-5746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINKERHOFF LOPEZ",
        "first_name": "CARLA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-25",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "8045",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "8045",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "8045",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "8045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006640100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.