Individual provider Active NPI

Yelitza Gonzalez Lebron, M.PSY

  • Counseling Psychologist
  • Humacao, PR
National Provider Identifier
1770858243
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
5932 Issued in PR
Practice address
HC 2 Box 11702
HC 02 Box 11702
Humacao, PR 00791-9348
Phone
(787) 218-9442
NPI assigned
Mar 17, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 5932 PR Primary
Social Worker 104100000X 9365 PR

Addresses

Primary practice location

HC 2 Box 11702
HC 02 Box 11702
Humacao, PR 00791-9348

Mailing address

246 Calle Arena Humacao
Urb Palacios del Sol
Humacao, PR 00791
Phone (787) 218-9442

Other practice location 1

246 Calle Arena Humacao
Urb Palacios del Sol
Humacao, PR 00791-1236
Phone (787) 218-9442

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
5932PRMDCounseling Psychologist
9365PRMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1331942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1770858243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 CALLE ARENA HUMACAO",
            "address_2": "URB PALACIOS DEL SOL",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-218-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 11702",
            "address_2": "HC 02 BOX 11702",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007919348",
            "telephone_number": "787-218-9442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "246 Calle Arena Humacao",
            "address_2": "Urb Palacios del Sol",
            "address_purpose": "LOCATION",
            "city": "Humacao",
            "state": "PR",
            "postal_code": "007911236",
            "country_code": "US",
            "telephone_number": "787-218-9442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEBRON",
        "first_name": "YELITZA",
        "middle_name": "GONZALEZ",
        "credential": "M.PSY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PR",
            "license": "5932",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PR",
            "license": "9365",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.