MR. JORGE ANTONIO LOPEZ LMHC
NPI 1386076594
Counselor - Mental Health in Leesburg, FL

Active since July 30, 2013
2018 TALLY RD, LEESBURG, FL 34748(352) 315-7400(352) 360-6656 Get Directions Write a Review

NPPES record last updated: November 26, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Jorge Antonio Lopez Lmhc NPPES

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

MR. JORGE ANTONIO LOPEZ LMHC (NPI 1386076594) is an individual mental health provider in Leesburg, Florida, licensed in Florida (MH16456) and active in the NPI registry since July 2013. He maintains a secondary practice location in Leesburg.

NPPES Registry Identity

NPI1386076594
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. JORGE ANTONIO LOPEZCredential: LMHC
Location Address2018 TALLY RDLeesburg, FL 34748
Mailing AddressPo Box 491000Leesburg, FL 34749-1000
Fax(352) 360-6656
Sole ProprietorYes
Enumeration DateJuly 30, 2013
Last NPPES UpdateNovember 26, 2018
NPI 1386076594 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 · MH16456
2018 TALLY RD, Leesburg, FL 34748

Secondary Practice Location 1

Location 12018 Tally RdLeesburg, FL 34748 · Phone (352) 315-7400 · Fax (352) 360-6656

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
2018 TALLY RD
LEESBURG, FL 34748

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 Jorge Lopez's NPI number?

The NPI number for Jorge Lopez is 1386076594. It was assigned to this individual provider in the NPPES registry on July 30, 2013.

Where is Jorge Lopez located?

Jorge Lopez practices at 2018 Tally Rd, Leesburg, FL 34748. The listed phone number is (352) 315-7400.

What is Jorge Lopez's specialty?

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

What insurance does Jorge Lopez accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Jorge 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 Jorge Lopez was last updated on November 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.