Individual provider Active NPI

Sophia Lopez, LMHC

  • Mental Health Counselor
  • West Palm Beach, FL
National Provider Identifier
1134864317
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH20664 Issued in FL
Practice address
5730 Corporate Way Ste 100
West Palm Beach, FL 33407-2032
Phone
(561) 863-7800
NPI assigned
May 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 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 MH20664 FL Primary

Addresses

Primary practice location

5730 Corporate Way Ste 100
West Palm Beach, FL 33407-2032

Mailing address

2425 Presidential Way Apt 806
West Palm Beach, FL 33401-1304
Phone (561) 676-1927

Other practice location 1

2330 S Congress Ave
West Palm Beach, FL 33406-7608
Phone (561) 863-7800

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
I20240604000178 FL Practitioner - Mental Health Counselor 3173065398 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH20664FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Foundcare, Inc. CurrentSince Apr 24, 2024 Accepting new patients
Foundcare, Inc CurrentSince Apr 24, 2024 Accepting new patients
Foundcare, Inc Current Accepting new patients

Locations

5730 Corporate Way
Ste 100
West Palm Beach, FL 33407
Phone (561) 863-7800

2330 S Congress Ave
West Palm Beach, FL 33406
Phone (561) 432-5849

Organizations & group practices 3

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": "1651449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1134864317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 PRESIDENTIAL WAY APT 806",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334011304",
            "telephone_number": "561-676-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 CORPORATE WAY STE 100",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072032",
            "telephone_number": "561-863-7800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2330 S Congress Ave",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334067608",
            "country_code": "US",
            "telephone_number": "561-863-7800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "SOPHIA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-05-02",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH20664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.