ANTHONY LICEA
NPI 1750255055
Counselor - Addiction (Substance Use Disorder) in Jamaica, NY

Active since October 01, 2025
9002 161ST ST, JAMAICA, NY 11432(718) 520-1513(718) 520-6460 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Anthony Licea NPPES

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

ANTHONY LICEA (NPI 1750255055) is an individual addiction (substance use disorder) provider in Jamaica, New York, licensed in New York (39318-T) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1750255055
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameANTHONY LICEA
Location Address9002 161ST STJamaica, NY 11432-6108
Mailing Address79 Glenridge RdGlenville, NY 12302-4523
Fax(718) 520-6460
Sole ProprietorNo
Enumeration DateOctober 1, 2025
NPPES CertifiedOctober 1, 2025
NPI 1750255055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in NY · 39318-T
9002 161ST ST, Jamaica, NY 11432

Other Providers at the Same Location NPPES 15

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

Counselor (Addiction (Substance Use Disorder))
9002 161ST ST
JAMAICA, NY 11432
Counselor (Addiction (Substance Use Disorder))
9002 161ST ST
JAMAICA, NY 11432
Social Worker
9002 161ST ST
JAMAICA, NY 11432
Clinic/Center (Rehabilitation, Substance Use Disorder)
9002 161ST ST
JAMAICA, NY 11432
Counselor (Addiction (Substance Use Disorder))
9002 161ST ST
JAMAICA, NY 11432
Peer Specialist
9002 161ST ST
JAMAICA, NY 11432
Peer Specialist
9002 161ST ST
JAMAICA, NY 11432
Peer Specialist
9002 161ST ST
JAMAICA, NY 11432

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 Anthony Licea's NPI number?

The NPI number for Anthony Licea is 1750255055. It was assigned to this individual provider in the NPPES registry on October 1, 2025.

Where is Anthony Licea located?

Anthony Licea practices at 9002 161st St, Jamaica, NY 11432. The listed phone number is (718) 520-1513.

What is Anthony Licea's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Anthony Licea was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.