Individual provider Active NPI

Luisette M Lopez Rivera, PHD, MHC

  • Mental Health Counselor
  • Kissimmee, FL
National Provider Identifier
1619645504
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH26188 Issued in FL
Practice address
1176 Cypress Glen Cir
Kissimmee, FL 34741-7560
Phone
(352) 394-0573
NPI assigned
Sep 3, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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 MH26188 FL Primary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X 1776 PR

Addresses

Primary practice location

1176 Cypress Glen Cir
Kissimmee, FL 34741-7560

Mailing address

1905 Morgans Mill Cir
Orlando, FL 32825-8296
Phone (787) 310-6149

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drlopez@neumind.com Direct

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
I20260326001946 FL Practitioner - Mental Health Counselor 2567947740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2113 Ruby Red Blvd
Suite D
Clermont, FL 34714-6115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MH26188FLMDMental Health Counselor
1776PRMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Neumind Wellness Group LLC Single Specialty CurrentSince Feb 17, 2026 Accepting new patients

Locations

1176 Cypress Glen Cir
Kissimmee, FL 34741
Phone (352) 394-0573

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": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1619645504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 MORGANS MILL CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328258296",
            "telephone_number": "787-310-6149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1176 CYPRESS GLEN CIR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417560",
            "telephone_number": "352-394-0573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ RIVERA",
        "first_name": "LUISETTE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD, MHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-03",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH26188",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "PR",
            "license": "1776",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drlopez@neumind.com",
            "affiliation": "N",
            "endpointDescription": "corporation email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1176 Cypress Glen Cir",
            "city": "Kissimmee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347417560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.