Individual provider Active NPI

Melissa Sosa, LPCC

  • Professional Counselor
  • Albuquerque, NM
National Provider Identifier
1194271304
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CCMH0202191 Issued in NM
Practice address
707 Broadway Blvd NE Ste 500
Albuquerque, NM 87102-2367
Phone
(505) 268-0701
Fax
(270) 689-6677
NPI assigned
Aug 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CMH0186021 NM
Professional Counselor 101YP2500X CCMH0202191 NM Primary

Addresses

Primary practice location

707 Broadway Blvd NE Ste 500
Albuquerque, NM 87102-2367

Mailing address

PO Box 1637
Owensboro, KY 42302-1637
Phone (270) 689-6500

Other practice location 1

5608 Zuni Rd SE
Albuquerque, NM 87108-2926
Phone (505) 262-2481

Other practice location 2

2551 Coors Blvd NW
Albuquerque, NM 87120-1213
Phone (505) 833-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240311003650 NM Practitioner - Mental Health Counselor 3274979315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Behavioral Healthcare Services IncGroup PAC ID 3274625132, 5 clinicians

Practice addresses (Care Compare)

707 Broadway NE
Suite 500 NM Solutions
Albuquerque, NM 87102-2360
Phone (505) 268-0701

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CMH0186021NMMDMental Health Counselor
CCMH0202191NMMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Healthcare Services, Inc. CurrentSince Jan 20, 2024 Accepting new patients
Behavioral Healthcare Services, Inc. Current Accepting new patients

Locations

707 Broadway Blvd NE
Ste 500
Albuquerque, NM 87102
Phone (505) 248-2726

2551 Coors Blvd NW
Albuquerque, NM 87120
Phone (505) 338-3320

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1194271304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1637",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423021637",
            "telephone_number": "270-689-6500",
            "fax_number": "270-689-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 BROADWAY BLVD NE STE 500",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022367",
            "telephone_number": "505-268-0701",
            "fax_number": "270-689-6677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5608 Zuni Rd SE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871082926",
            "country_code": "US",
            "telephone_number": "505-262-2481",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2551 Coors Blvd NW",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871201213",
            "country_code": "US",
            "telephone_number": "505-833-2300",
            "fax_number": "270-689-6677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOSA",
        "first_name": "MELISSA",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CMH0186021",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CCMH0202191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.