Active NPI
Sophia Loya Pedraza, LMHC/LSAA
- Mental Health Counselor
- Las Cruces, NM
National Provider Identifier
1609246891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0174431
- Practice address
- 3850 Foothills Rd
Ste #8
Las Cruces, NM 88011-4632 - Phone
- (915) 356-4629
- Fax
- (575) 815-7016
- NPI assigned
- Sep 30, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0174321 | NM | |
| Mental Health Counselor | 101YM0800X | 0174431 | NM | Primary |
Addresses
Primary practice location
3850 Foothills Rd
Ste #8
Las Cruces, NM 88011-4632
Mailing address
3850 Foothills Rd
Ste #8
Las Cruces, NM 88011-4632
Phone (915) 356-4629
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 |
|---|---|---|---|
| 0174321 | NM | MD | Addiction (Substance Use Disorder) Counselor |
| 0174431 | NM | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443571200000",
"number": "1609246891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3850 FOOTHILLS RD",
"address_2": "STE #8",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880114632",
"telephone_number": "915-356-4629",
"fax_number": "575-815-7016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3850 FOOTHILLS RD",
"address_2": "STE #8",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880114632",
"telephone_number": "915-356-4629",
"fax_number": "575-815-7016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOYA PEDRAZA",
"first_name": "SOPHIA",
"credential": "LMHC/LSAA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-30",
"last_updated": "2015-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NM",
"license": "0174321",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "0174431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.