Individual provider Active NPI

Loretta Salome Ohmaye, LPCC

  • Professional Counselor
  • Santa Fe, NM
National Provider Identifier
1578083556
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CCMH0192471 Issued in NM
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

Updated by the provider on Mar 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other 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
CCMH0192471NMMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Loretta S Ohmaye Professional CurrentSince Feb 27, 2022 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.

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.

Verify at the official NPI Registry.