Individual provider Active NPI

Juan A Lopez, LMHC

  • Behavior Analyst
  • Plantation, FL
National Provider Identifier
1245657139
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
MH10259 Issued in FL
Practice address
1600 SW 78TH Ave Apt 526
Plantation, FL 33324
Phone
(786) 526-1799
NPI assigned
Mar 28, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH10259 FL
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X MH10259 FL Primary

Addresses

Primary practice location

1600 SW 78TH Ave Apt 526
Plantation, FL 33324

Mailing address

1600 SW 78TH Ave Apt 526
Plantation, FL 33324-3396
Phone (786) 526-1799

Other practice location 1

700 S Royal Poinciana Blvd Ste 300
Miami Springs, FL 33166-6667
Phone (786) 493-8822

Other practice location 2

700 S Royal Poinciana Blvd Ste 300
Miami Springs, FL 33166-6667
Phone (786) 493-8822

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

State licenses

LicenseStateTypeSpecialty
MH10259FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC Mental Health Past Accepting new patients

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": "1395964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1245657139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 SW 78TH AVE APT 526",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243396",
            "telephone_number": "786-526-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW 78TH AVE APT 526",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "33324",
            "telephone_number": "786-526-1799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 S Royal Poinciana Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Miami Springs",
            "state": "FL",
            "postal_code": "331666667",
            "country_code": "US",
            "telephone_number": "786-493-8822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 S Royal Poinciana Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Miami Springs",
            "state": "FL",
            "postal_code": "331666667",
            "country_code": "US",
            "telephone_number": "786-493-8822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JUAN",
        "middle_name": "A",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-28",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10259",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "MH10259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; 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.