Active NPI
Sally Jo Wichmann
- Counselor
- Rio Rancho, NM
National Provider Identifier
1417817313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 4131 Barbara Loop SE Ste A2
Rio Rancho, NM 87124-1372 - Phone
- (505) 225-3194
- Fax
- (505) 212-6336
- NPI assigned
- Nov 13, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
4131 Barbara Loop SE Ste A2
Rio Rancho, NM 87124-1372
Mailing address
300 Sandstone Dr NE
Rio Rancho, NM 87124-7016
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Masn, LLC / New Light Counseling LLC | Counselor | Past | Accepting new patients |
Organizations & group practices 1
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": "1762992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773619200000",
"number": "1417817313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 SANDSTONE DR NE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871247016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4131 BARBARA LOOP SE STE A2",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871241372",
"telephone_number": "505-225-3194",
"fax_number": "505-212-6336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WICHMANN",
"first_name": "SALLY JO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-13",
"last_updated": "2026-03-16",
"certification_date": "2026-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rio Rancho, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.