Sophia Xiques Mas, L.M.H.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH 8174 Issued in FL

Practice address

301 Justice LN
Bunnell, FL 32110-4487

Phone

(386) 236-1726

Fax

(386) 236-3162

NPI assigned

Dec 13, 2006

Sex

Female

Sole proprietor

Yes

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

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.

• Shine Medical Providers PC

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1538894050
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1598826323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 GRAND HICKORY CIR",
            "city": "HOLLY HILL",
            "state": "FL",
            "postal_code": "321173139",
            "telephone_number": "386-334-6397",
            "fax_number": "386-236-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 JUSTICE LN",
            "city": "BUNNELL",
            "state": "FL",
            "postal_code": "321104487",
            "telephone_number": "386-236-1726",
            "fax_number": "386-236-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAS",
        "first_name": "SOPHIA",
        "middle_name": "XIQUES",
        "name_prefix": "Ms.",
        "credential": "L.M.H.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 8174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bishaswar Mahadeo, PHARM. D.
• Susan Ann Marion, M.S., LMT
• Lori Martin, APRN, FNP-BC, RN
• Trina C Martin, M.D.
• Marvmed LLC
• Priscilla Matos
• Debbra Ann McKinney
• Medcare Diabetic Supply LLC
• Medical Risk Solutions
• Melony Thomas Chiropractic Centers

• Mental Health Counselor in Bunnell, FL
• Providers in Bunnell, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; 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.