Active NPI
Loretta Salome Ohmaye, LPCC
- Professional Counselor
- Santa Fe, NM
National Provider Identifier
1578083556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CCMH0192471
- Practice address
- 2209 Miguel Chavez Rd
BLDG a, Ste B
Santa Fe, NM 87505-6914 - Phone
- (505) 930-0186
- NPI assigned
- Jun 21, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CCMH0192471 | NM | Primary |
Addresses
Primary practice location
2209 Miguel Chavez Rd
BLDG a, Ste B
Santa Fe, NM 87505-6914
Mailing address
4 Brimhall Wash
Santa Fe, NM 87508-4817
Phone (505) 930-0186
Other practice location 1
4 Brimhall Wash
Santa Fe, NM 87508-4817
Phone (505) 930-0186
Other names 1
- Lara Salome Ohmaye
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
| License | State | Type | Specialty |
|---|---|---|---|
| CCMH0192471 | NM | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loretta S Ohmaye | Professional | Current | Accepting new patients |
Locations
2209 Miguel Chavez Rd
Ste B
Santa Fe, NM 87505
Phone (505) 395-6226
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.
-
- Professional Counselor
- Santa Fe, NM
- NPI 1912653163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646179200000",
"number": "1578083556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 BRIMHALL WASH",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875084817",
"telephone_number": "505-930-0186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2209 MIGUEL CHAVEZ RD",
"address_2": "BLDG A, STE B",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875056914",
"telephone_number": "505-930-0186"
}
],
"practiceLocations": [
{
"address_1": "4 Brimhall Wash",
"address_purpose": "LOCATION",
"city": "Santa Fe",
"state": "NM",
"postal_code": "875084817",
"country_code": "US",
"telephone_number": "505-930-0186",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OHMAYE",
"first_name": "LORETTA",
"middle_name": "SALOME",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-21",
"last_updated": "2022-03-02",
"certification_date": "2022-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "CCMH0192471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LARA",
"last_name": "OHMAYE",
"middle_name": "SALOME",
"credential": "LPCC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.