Individual provider Active NPI

Kevin Tirado Feliciano, CPL

  • Addiction (Substance Use Disorder) Counselor
  • Isabela, PR
National Provider Identifier
1982942991
Registry record updated Jan 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
962 Issued in PR
Practice address
611 Calle Fragata
Isabela, PR 00662-2133
Phone
(787) 517-5312
NPI assigned
Jan 25, 2013
Sex
Male
Sole proprietor
No

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
0291PRMDProfessional Counselor
962PRMDChiropractor

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 962 PR Primary
Professional Counselor 101YP2500X 0291 PR

Addresses

NPPES NPI Registry

Primary practice location

611 Calle Fragata
Isabela, PR 00662-2133

Mailing address

611 Calle Fragata
Isabela, PR 00662-2133
Phone (787) 517-5312

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 25, 2013.

{
    "created_epoch": "1359072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359072000000",
    "number": "1982942991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 CALLE FRAGATA",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006622133",
            "telephone_number": "787-517-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 CALLE FRAGATA",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006622133",
            "telephone_number": "787-517-5312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICIANO",
        "first_name": "KEVIN",
        "middle_name": "TIRADO",
        "credential": "CPL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-25",
        "last_updated": "2013-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PR",
            "license": "962",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PR",
            "license": "0291",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Isabela, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; 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.