Carmen Helena Sorisho, M.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMF 57273 Issued in CA

Practice address

2115 Wardrobe Ave
Merced, CA 95341-6445

Phone

(209) 385-3000

Fax

(209) 354-2513

NPI assigned

Feb 15, 2007

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Merced County Department of Mental Health Calworks

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Merced, CA
  • NPI 1215233473
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392681600000",
    "number": "1366585531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2087",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953440087",
            "telephone_number": "209-385-3000",
            "fax_number": "209-354-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 WARDROBE AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953416445",
            "telephone_number": "209-385-3000",
            "fax_number": "209-354-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORISHO",
        "first_name": "CARMEN",
        "middle_name": "HELENA",
        "name_prefix": "Miss",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2014-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "IMF 57273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jin R. Soofi, MD
• Martha Soria-Pimentel
• Rayvonne Samone Soria
• Sabrina Gabriella Soria
• Tina Soria
• Adryanna Raquel Sotelo-Campos
• Leah Sotelo
• Carly Soto, LVN
• Cyttirae Soto
• Jesus Soto

• Mental Health Counselor in Merced, CA
• Providers in Merced, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.