Active NPI
Yelitza Gonzalez Lebron, M.PSY
- Counseling Psychologist
- Humacao, PR
National Provider Identifier
1770858243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 5932
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5932 | PR | MD | Counseling Psychologist |
| 9365 | PR | MD | Social 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.