Tanja Theresia Soto, LPC, BCBA

Primary specialty

CounselorTaxonomy code 101Y00000X

License

BH003193 Issued in PA

Practice address

1235 Penn Ave Ste 206
Wyomissing, PA 19610-2100

Phone

(610) 374-4963

NPI assigned

Jan 2, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Evidence Based Therapy & Wellness LLC

  • Professional Counselor
  • Pittsburgh, PA
  • NPI 1003322298
  NPD (past)

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

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1003323841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 4TH AVE STE 1801",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152221716",
            "telephone_number": "833-274-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 PENN AVE STE 206",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102100",
            "telephone_number": "610-374-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO",
        "first_name": "TANJA",
        "middle_name": "THERESIA",
        "credential": "LPC, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-02",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "BH003193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Soltysik, BCBA, LBS
• Leslie J Sonday, AUD
• Amanda Stegeman Sonntag, DDS
• Cheryl Anne Sornson
• Elaylee-Anne Soto
• Thomas B Souders, M.D.
• Adam Spiegel, D.O.
• Ruth M Spillerman, MD
• Megan Kelly Sporre, CRNP
• Roger A Stafford, ATC

• Counselor in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.