Active NPI
Juan A Lopez, LMHC
- Behavior Analyst
- Plantation, FL
National Provider Identifier
1245657139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- MH10259
- Practice address
- 1600 SW 78TH Ave Apt 526
Plantation, FL 33324 - Phone
- (786) 526-1799
- NPI assigned
- Mar 28, 2014
- Last updated
- May 15, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH10259 | FL | |
| Behavior Analyst | 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
| License | State | Type | Specialty |
|---|---|---|---|
| MH10259 | FL | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New 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, 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": "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.