Individual provider Active NPI

Marilissa De Jesus Lopez

  • Counseling Psychologist
  • Cayey, PR
National Provider Identifier
1629934666
Registry record updated Jan 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
8699 Issued in PR
Practice address
HC 44 Box 12949
Cayey, PR 00736-9715
Phone
(939) 316-5293
NPI assigned
Jan 3, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 8699 PR Primary

Addresses

Primary practice location

HC 44 Box 12949
Cayey, PR 00736-9715

Mailing address

HC 44 Box 12949
Cayey, PR 00736-9715
Phone (939) 316-5293

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
8699PRMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1767398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767398400000",
    "number": "1629934666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 44 BOX 12949",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007369715",
            "telephone_number": "939-316-5293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 44 BOX 12949",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007369715",
            "telephone_number": "939-316-5293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JESUS LOPEZ",
        "first_name": "MARILISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-03",
        "last_updated": "2026-01-03",
        "certification_date": "2026-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "8699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.

Verify at the official NPI Registry.