Christine Angelica Soria, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPCC.0014954 Issued in CO

Practice address

2800 Cornerstone Dr
Pagosa Springs, CO 81147-8156

Phone

(970) 570-5238

NPI assigned

May 8, 2019

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 23, 2019.

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1689239261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 ASPENGLOW BLVD UNIT 204",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811479685",
            "telephone_number": "210-426-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 CORNERSTONE DR",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811478156",
            "telephone_number": "970-570-5238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORIA",
        "first_name": "CHRISTINE",
        "middle_name": "ANGELICA",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-08",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPCC.0014954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457530586",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Smart Mobility, Inc.
• Brian Shawn Smith, CRNA
• Eric Michael Smith, D.D.S.
• Gary Scott Smith, MD
• Charles Soniat Dufossat III, RN
• South West Medical Transport
• Southwest Colorado Mental Health Center Inc
• Southwest Colorado Mental Health Center Inc
• Southwest Colorado Mental Health Center Inc
• Southwest Colorado Mental Health Center, Inc

• All providers in Pagosa Springs, CO
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.