Individual provider Active NPI

Victoria M Sotelo, LMFT

  • Marriage & Family Therapist
  • New York, NY
National Provider Identifier
1336792837
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001315 Issued in NY
Practice address
380 Lexington Ave Ste 1722
New York, NY 10168-0002
Phone
(646) 543-4026
NPI assigned
Jul 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 001315 NY Primary

Addresses

Primary practice location

380 Lexington Ave Ste 1722
New York, NY 10168-0002

Mailing address

401 W 261St St
Bronx, NY 10471-1126
Phone (917) 364-5151

Other names 1

  • Victoria Mahairas-Sotelo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
001315NYMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1336792837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W 261ST ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104711126",
            "telephone_number": "917-364-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 LEXINGTON AVE STE 1722",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101680002",
            "telephone_number": "646-543-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTELO",
        "first_name": "VICTORIA",
        "middle_name": "M",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "001315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "MAHAIRAS-SOTELO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.