Active NPI
Lissette Mari Mejias I
- Counseling Psychologist
- Ponce, PR
National Provider Identifier
1477258192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 9086
- Practice address
- 8169 Calle Concordia Cond. San Vicente Ste. 412
Ponce, PR 00717 - Phone
- (787) 284-5844
- NPI assigned
- Apr 3, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 9086 | PR | Primary |
Addresses
Primary practice location
8169 Calle Concordia Cond. San Vicente Ste. 412
Ponce, PR 00717
Mailing address
8169 Calle Concordia Cond. San Vicente Ste. 412
Ponce, PR 00717
Phone (787) 284-5844
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1477258192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8169 CALLE CONCORDIA COND. SAN VICENTE STE. 412",
"city": "PONCE",
"state": "PR",
"postal_code": "00717",
"telephone_number": "787-284-5844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8169 CALLE CONCORDIA COND. SAN VICENTE STE. 412",
"city": "PONCE",
"state": "PR",
"postal_code": "00717",
"telephone_number": "787-284-5844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEJIAS",
"first_name": "LISSETTE",
"middle_name": "MARI",
"name_suffix": "I",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-03",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PR",
"license": "9086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.