Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kaylynn Destiny Lopez

Individual provider Mental Health Counselor · NPI 1104714708

Kaylynn Destiny Lopez is a Mental Health Counselor in New York, New York. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1199 Park Ave
New York, NY 10128-1711
Phone: (917) 767-7629
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1104714708
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 24, 2025
Last updated in NPPESJune 24, 2025
Certification dateJune 24, 2025

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