Individual provider Active NPI

Janeishka K Alicea Toledo, PSY.D.

  • Counseling Psychologist
  • Lares, PR
National Provider Identifier
1881478477
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Practice address
389 Ave. Los Patriotas
Carr 111 KM 32.4 Bo. Lares
Lares, PR 00669-0000
Phone
(787) 446-4525
NPI assigned
Aug 23, 2023
Last updated
Mar 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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 NU Primary

Addresses

Primary practice location

389 Ave. Los Patriotas
Carr 111 KM 32.4 Bo. Lares
Lares, PR 00669-0000

Mailing address

PO Box 427
Angeles, PR 00611-0427
Phone (787) 446-4525

Other identifiers 1

IdentifierTypeStateIssuer
6954OtherPRLICENCIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250716004014 PR Practitioner - Psychologist Billing Independently 8628583713 Practice locations: Lares, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1881478477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 427",
            "city": "ANGELES",
            "state": "PR",
            "postal_code": "006110427",
            "telephone_number": "787-446-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 AVE. LOS PATRIOTAS",
            "address_2": "CARR 111 KM 32.4 BO. LARES",
            "city": "LARES",
            "state": "PR",
            "postal_code": "006690000",
            "telephone_number": "787-446-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALICEA TOLEDO",
        "first_name": "JANEISHKA",
        "middle_name": "K",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-23",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCIA",
            "identifier": "6954",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lares, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.