Individual provider Active NPI

Lissete Tolentino Morales

  • Addiction (Substance Use Disorder) Counselor
  • San Lorenzo, PR
National Provider Identifier
1558183368
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CAADC-05-20-8710 Issued in PR
Practice address
HC 60 Box 42725
San Lorenzo, PR 00754-9073
Phone
(939) 267-3883
NPI assigned
Oct 31, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CAADC-05-20-8710 PR Primary

Addresses

Primary practice location

HC 60 Box 42725
San Lorenzo, PR 00754-9073

Mailing address

HC 60 Box 42725
San Lorenzo, PR 00754-9073
Phone (939) 267-3883

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": "1730332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1558183368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 60 BOX 42725",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "007549073",
            "telephone_number": "939-267-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 60 BOX 42725",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "007549073",
            "telephone_number": "939-267-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLENTINO MORALES",
        "first_name": "LISSETE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PR",
            "license": "CAADC-05-20-8710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Lorenzo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.