KAITLYN VICTORIA LOPEZ
NPI 1205575131
Counselor - Mental Health in Miami, FL

Active since May 31, 2022PECOS EnrolledAccepts Medicare Assignment
12583 SW 119TH PL, MIAMI, FL 33186(786) 671-2299 Get Directions Write a Review

NPPES record last updated: May 31, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kaitlyn Victoria Lopez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAITLYN VICTORIA LOPEZ (NPI 1205575131) is an individual mental health provider in Miami, Florida, licensed in Florida (MH20817) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1205575131
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKAITLYN VICTORIA LOPEZ
Location Address12583 SW 119TH PLMiami, FL 33186-5181
Mailing Address2423 Sw 147th Ave # 2037Miami, FL 33185-4082
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMay 31, 2022
NPPES CertifiedMay 25, 2022
✔ NPI 1205575131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH20817
12583 SW 119TH PL, Miami, FL 33186

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kaitlyn Victoria Lopez is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567908858
PECOS Enrollment IDI20240723002105, I20260422000039
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Kaitlyn Lopez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychologist
2332 GALIANO ST FL 2
Coral Gables, FL 33134
  • Reassigned Medicare billing, Florida and Georgia enrollments
  • 109 clinicians in this Medicare group
Community/Behavioral Health
1951 NW 7TH AVE FL 3
Miami, FL 33136
  • Reassigned Medicare billing, Georgia enrollment
  • 27 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaitlyn Lopez's NPI number?

The NPI number for Kaitlyn Lopez is 1205575131. It was assigned to this individual provider in the NPPES registry on May 31, 2022.

Where is Kaitlyn Lopez located?

Kaitlyn Lopez practices at 12583 SW 119th Pl, Miami, FL 33186. The listed phone number is (786) 671-2299.

What is Kaitlyn Lopez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kaitlyn Lopez enrolled in Medicare?

Yes. Kaitlyn Lopez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kaitlyn Lopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlyn Lopez reassigns Medicare benefits to 2 organizations: Sailor Health Medical PA (Coral Gables, FL) and Brave Health Medical Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kaitlyn Lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kaitlyn Lopez accept?

Health plans from Molina Healthcare and UnitedHealthcare list Kaitlyn Lopez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kaitlyn Lopez was last updated on May 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.