Individual provider Active NPI

Jose R Felicie-Mejias, LMSW

  • Case Manager/Care Coordinator
  • Bayamon, PR
National Provider Identifier
1376964601
Registry record updated Mar 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
15713 Issued in LA
Practice address
Ave Irlanda HTS
FM 17 Sirio
Bayamon, PR 00956-5359
Phone
(939) 717-3235
NPI assigned
Jan 6, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2971 PR
Case Manager/Care Coordinator 171M00000X 15713 LA Primary

Addresses

Primary practice location

Ave Irlanda HTS
FM 17 Sirio
Bayamon, PR 00956-5359

Mailing address

1776 Continental Dr Unit 109
Covington, LA 70433-7279
Phone (939) 717-3235

Other names 1

  • Dr. Jose R Felicie Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15713LAMDCase Manager/Care Coordinator
2971PRMDRadiologic Technologist

NPI Registry JSON

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615075200000",
    "number": "1376964601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 CONTINENTAL DR UNIT 109",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337279",
            "telephone_number": "939-717-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE IRLANDA HTS",
            "address_2": "FM 17 SIRIO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009565359",
            "telephone_number": "939-717-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICIE-MEJIAS",
        "first_name": "JOSE",
        "middle_name": "R",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-06",
        "last_updated": "2021-03-07",
        "certification_date": "2021-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2971",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": "15713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSE",
            "last_name": "FELICIE",
            "middle_name": "R",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.