Individual provider Active NPI

Maria Antonia Lopez, MS, LMHC

  • Mental Health Counselor
  • Miami, FL
National Provider Identifier
1114644796
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH21283 Issued in FL
Practice address
4770 Biscayne Blvd Ste 1440
Miami, FL 33137-3247
Phone
(786) 657-8054
NPI assigned
Oct 24, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH21283 FL Primary

Addresses

Primary practice location

4770 Biscayne Blvd Ste 1440
Miami, FL 33137-3247

Mailing address

4770 Biscayne Blvd Ste 1440
Miami, FL 33137-3247
Phone (786) 657-8054

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hola@antonialopez.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MH21283FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Realize Mental Health Current Accepting new patients

Locations

4770 Biscayne Blvd
Ste 1440
Miami, FL 33137
Phone (786) 229-6947

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1114644796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 BISCAYNE BLVD STE 1440",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373247",
            "telephone_number": "786-657-8054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 BISCAYNE BLVD STE 1440",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373247",
            "telephone_number": "786-657-8054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "MARIA",
        "middle_name": "ANTONIA",
        "credential": "MS, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH21283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hola@antonialopez.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4770 Biscayne Blvd Ste 1440",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331373247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.