SAMANTHA MICHELLE LOPEZ LMHC
NPI 1962946962
Counselor - Mental Health in New York, NY

Active since December 09, 2016PECOS Enrolled
1501 BROADWAY, NEW YORK, NY 10036(332) 245-0300 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samantha Michelle Lopez Lmhc NPPES

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

SAMANTHA MICHELLE LOPEZ LMHC (NPI 1962946962) is an individual mental health provider in New York, New York, licensed in New York (012315) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962946962
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSAMANTHA MICHELLE LOPEZCredential: LMHC
Location Address1501 BROADWAYNew York, NY 10036-5601
Mailing Address1304 Donegal DrBridgewater, NJ 08807-3747 · (347) 440-9390
Sole ProprietorYes
Enumeration DateDecember 9, 2016
Last NPPES UpdateMarch 10, 2025
NPPES CertifiedMarch 10, 2025
NPI 1962946962 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 NY · 012315
1501 BROADWAY, New York, NY 10036

Other Identifiers 1

MedicaidVY20907NNY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Samantha Michelle Lopez Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 6

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

Dentist
1501 BROADWAY
NEW YORK, NY 10036
Podiatrist
1501 BROADWAY, ROOM 520
NEW YORK, NY 10036
Dentist
1501 BROADWAY, #502
NEW YORK, NY 10036
Physical Therapist
1501 BROADWAY, SUITE 502
NEW YORK, NY 10036
Clinic/Center (Physical Therapy)
1501 BROADWAY, SUITE 502
NEW YORK, NY 10036
Podiatrist
1501 BROADWAY, ROOM 520
NEW YORK, NY 10036

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 Samantha Lopez's NPI number?

The NPI number for Samantha Lopez is 1962946962. It was assigned to this individual provider in the NPPES registry on December 9, 2016.

Where is Samantha Lopez located?

Samantha Lopez practices at 1501 Broadway, New York, NY 10036. The listed phone number is (332) 245-0300.

What is Samantha Lopez's specialty?

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

Is Samantha Lopez enrolled in Medicare?

Yes. Samantha Lopez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samantha Lopez was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.