Sara Lombardi, LPCC
Individual provider Active NPI Professional Counselor · Moriarty, NM
NPI 1578071999 · NPPES record last updated Jul 15, 2021
Key facts
- NPI
- 1578071999
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- CCMH0194131 (NM)
- Practice address
- 1209 W US Route 66 Ste a
Moriarty, NM 87035-1039 - Phone
- (505) 303-9597
- Fax
- (505) 832-4441
- NPI assigned
- Jan 19, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CCMH0194131 | NM | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vista Clara Counseling LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CCMH0194131 | NM | Yes |
Addresses
Primary practice location
1209 W US Route 66 Ste a
Moriarty, NM 87035-1039
Mailing address
PO Box 2732
Moriarty, NM 87035-2732
Phone (505) 433-8822
Other providers in Moriarty, NM
- High Plains Medical, Inc.
- Toby Hurtado
- Kristine Jaramillo
- Megan Leboeuf
- Kristen K Leeson
- Sarah Jill Lyon
- Angela Mabry
- Christina Magnuson
- Gregory J Maroney
- Carla Martin
All providers in Moriarty, NM · Professional Counselor in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.