Individual provider Active NPI

Cheri Lynn Sotelo, MS, CPC

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1285958264
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CP0091 Issued in NV
Practice address
730 N Eastern Ave Ste 110
Las Vegas, NV 89101-2885
Phone
(702) 994-3635
Fax
(702) 664-0648
NPI assigned
Mar 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CP0091 NV Primary

Addresses

Primary practice location

730 N Eastern Ave Ste 110
Las Vegas, NV 89101-2885

Mailing address

6512 N Decatur Blvd Ste 130-114
Las Vegas, NV 89131-1046
Phone (702) 994-3635

Other names 1

  • Cheri Lynn White Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20260504007711 NV Practitioner - Mental Health Counselor 3072081454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Dallas, TX 75373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
CP0091NVMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Journey Community Health Organization Inc Past Accepting new patients
Legacy Health Centers Inc Past Accepting new patients

Organizations & group practices 3

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": "1269043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476230400000",
    "number": "1285958264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6512 N DECATUR BLVD STE 130-114",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891311046",
            "telephone_number": "702-994-3635",
            "fax_number": "702-664-0648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 N EASTERN AVE STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891012885",
            "telephone_number": "702-994-3635",
            "fax_number": "702-664-0648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTELO",
        "first_name": "CHERI",
        "middle_name": "LYNN",
        "credential": "MS, CPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-20",
        "last_updated": "2016-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "CP0091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERI",
            "last_name": "WHITE",
            "middle_name": "LYNN",
            "credential": "MS, CPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.