Rebecca Sophia Socia, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

012847 Issued in NY

Practice address

107 Fayette St
Manlius, NY 13104-1801

Phone

(315) 400-0183

NPI assigned

Oct 21, 2022

Last updated

Oct 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1666310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1710604632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6342 TULIPWOOD LN",
            "city": "JAMESVILLE",
            "state": "NY",
            "postal_code": "130788404",
            "telephone_number": "315-727-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 FAYETTE ST",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131041801",
            "telephone_number": "315-400-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOCIA",
        "first_name": "REBECCA",
        "middle_name": "SOPHIA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-21",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "012847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Danielle Simmons, PHARMD
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• Mental Health Counselor in Manlius, NY
• Providers in Manlius, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.