Yalitza Marrero de Jesus, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC004376 Issued in PA

Practice address

905 Hanshaw Rd Ste C
Ithaca, NY 14850-1549

Phone

(607) 844-7271

Fax

(607) 319-0492

NPI assigned

Sep 20, 2021

Last updated

Sep 20, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1326718495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 HANSHAW RD STE C",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501549",
            "telephone_number": "607-844-7271",
            "fax_number": "607-319-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 HANSHAW RD STE C",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501549",
            "telephone_number": "607-844-7271",
            "fax_number": "607-319-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRERO DE JESUS",
        "first_name": "YALITZA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC004376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fran Markover, LCSW
• Sarah M Markowitz, PH.D.
• Kathryn S Marks, LMSW
• Barbara Marmora
• Marne Oshae MD PLLC
• Joanna Michelle Marsh, RPH
• Elizabeth Billie Marshall, NP
• Bridget Martin-Slocum, ACNP-AG
• Catherine Dinah Martinez, LCSW
• Mary Martinez, RN, CLC

• Professional Counselor in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Professional Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.