Jeannette Marie Alicea

Key facts

NPI

1659239408

Entity type

Individual (NPI type 1)

Primary specialty

Mental Health Counselor 101YM0800X

License

99134246A (IN)

Practice address

3145 45TH St Ste G
Highland, IN 46322-3292

Phone

(331) 277-8585

NPI assigned

Jan 12, 2026

Sex

Female

Sole proprietor

Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Light of Hope Wellness and Counseling Multi-Specialty Clinic/Center · Highland, IN · NPI 1053198804
  NPD (past) MENTAL HEALTH

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 12, 2026.

{
    "created_epoch": "1768176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1659239408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2049 PORTE DELEAU CT APT 301",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463223725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3145 45TH ST STE G",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463223292",
            "telephone_number": "331-277-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALICEA",
        "first_name": "JEANNETTE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-12",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "99134246A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Highland, IN · Mental Health Counselor in Indiana