1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Counselor
  6. NPI Profile

MS. LOURDES J. LICEA LMHC
NPI 1619274750
Counselor - Mental Health in New York, NY

Active since February 25, 2011
715 W 179TH ST, NEW YORK, NY 10033(212) 795-4226 Get Directions Write a Review

NPPES record last updated: February 25, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Lourdes J. Licea Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. LOURDES J. LICEA LMHC (NPI 1619274750) is an individual mental health provider in New York, New York, licensed in New York (003470) and active in the NPI registry since February 2011.

NPPES Registry Identity

NPI1619274750
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. LOURDES J. LICEACredential: LMHC
Location Address715 W 179TH STNew York, NY 10033-6020
Mailing Address715 W 179th StNew York, NY 10033-6020
Phone(212) 795-4226
Sole ProprietorYes
Enumeration DateFebruary 25, 2011
✔ NPI 1619274750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 003470
715 W 179TH ST, New York, NY 10033
Open in Google Maps ↗

Other Identifiers 2

Medicaid01765140NY
Medicaid1568653806NY

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALIANZA DOMINICANA, INC.
Community/Behavioral Health
715 W 179TH ST, BASEMENT
NEW YORK, NY 10033
New York County (212) 795-4226
YOHALINNY VELOZ
Counselor (Mental Health)
715 W 179TH ST
NEW YORK, NY 10033
New York County (212) 795-4226
KENIA AMPARO GONZALEZ
Social Worker (Clinical)
715 W 179TH ST
NEW YORK, NY 10033
New York County (212) 795-4226
ALIANZA DOMINICANA , INC.
Community/Behavioral Health
715 W 179TH ST
NEW YORK, NY 10033
New York County (646) 413-5997
JACQUELINE VICTORIA-KLINE LMSW
Social Worker (Clinical)
715 W 179TH ST
NEW YORK, NY 10033
New York County (212) 795-4226

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lourdes Licea's NPI number?

The NPI number for Lourdes Licea is 1619274750. It was assigned to this individual provider in the NPPES registry on February 25, 2011.

Where is Lourdes Licea located?

Lourdes Licea practices at 715 W 179th St, New York, NY 10033. The listed phone number is (212) 795-4226.

What is Lourdes Licea's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Lourdes Licea was last updated on February 25, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.