DR. LUISETTE M LOPEZ RIVERA PHD, MHC
NPI 1619645504
Counselor - Mental Health in Kissimmee, FL

Active since September 03, 2021PECOS Enrolled
1176 CYPRESS GLEN CIR, KISSIMMEE, FL 34741(352) 394-0573 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Luisette M Lopez Rivera Phd, Mhc NPPES

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

DR. LUISETTE M LOPEZ RIVERA PHD, MHC (NPI 1619645504) is an individual mental health provider in Kissimmee, Florida, licensed in Florida (MH26188) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1619645504
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDR. LUISETTE M LOPEZ RIVERACredential: PHD, MHC
Location Address1176 CYPRESS GLEN CIRKissimmee, FL 34741-7560
Mailing Address1905 Morgans Mill CirOrlando, FL 32825-8296 · (787) 310-6149
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 3, 2021
Last NPPES UpdateDecember 9, 2025
NPPES CertifiedDecember 9, 2025
✔ NPI 1619645504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH26188
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 1776 (PR)
1176 CYPRESS GLEN CIR, Kissimmee, FL 34741

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Luisette M Lopez Rivera Phd, Mhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567947740
PECOS Enrollment IDI20260326001946
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 Reassignment

Medicare enrollment records show Luisette Lopez Rivera reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
2113 RUBY RED BLVD STE D
Clermont, FL 34714
  • Reassigned Medicare billing, Florida enrollment
  • 6 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.

Other Providers at the Same Location NPPES 18

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

Counselor (Mental Health)
1176 CYPRESS GLEN CIR
KISSIMMEE, FL 34741
Counselor (Mental Health)
1176 CYPRESS GLEN CIR
KISSIMMEE, FL 34741
Counselor (Mental Health)
1176 CYPRESS GLEN CIR
KISSIMMEE, FL 34741
Counselor (Mental Health)
1176 CYPRESS GLEN CIR
KISSIMMEE, FL 34741
Counselor (Mental Health)
1176 CYPRESS GLEN CIR
KISSIMMEE, FL 34741
Counselor (Mental Health)
1176 CYPRESS GLEN CIR
KISSIMMEE, FL 34741
Counselor (Mental Health)
1176 CYPRESS GLEN CIR
KISSIMMEE, FL 34741
Counselor (Mental Health)
1176 CYPRESS GLEN CIR
KISSIMMEE, FL 34741

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 Luisette Lopez Rivera's NPI number?

The NPI number for Luisette Lopez Rivera is 1619645504. It was assigned to this individual provider in the NPPES registry on September 3, 2021.

Where is Luisette Lopez Rivera located?

Luisette Lopez Rivera practices at 1176 Cypress Glen Cir, Kissimmee, FL 34741. The listed phone number is (352) 394-0573.

What is Luisette Lopez Rivera's specialty?

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

Is Luisette Lopez Rivera enrolled in Medicare?

Yes. Luisette Lopez Rivera is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Luisette Lopez Rivera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luisette Lopez Rivera reassigns Medicare benefits to Neumind Wellness Group LLC (Clermont, FL). The 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 Luisette Lopez Rivera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Luisette Lopez Rivera accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Luisette Lopez Rivera 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 Luisette Lopez Rivera was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.