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

Individual provider Professional Counselor · NPI 1396528949

Lauren Boeta-Lopez is a Mental Health Counselor in Skokie, Illinois. Qualified in 2022, 4 years ago. Practices with Privia Medical Group Gulf Coast PLLC, a 538-clinician group and accepts Medicare assignment. Licensed in Illinois and Texas.

Years since qualifying
4
Licensed in
IL, TX
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

8348 Lincoln Ave
Skokie, IL 60077-2436
Phone: (312) 298-9402
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 178018543 (IL)
Professional Counselor Taxonomy 101YP2500X · Licence 89396 (TX)

Record details

NPI number1396528949
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 17, 2023
Last updated in NPPESFebruary 7, 2025
Certification dateFebruary 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Privia Medical Group Gulf Coast Pllc — 538 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Skokie