Active NPI
Sergio a Loya
- Mental Health Counselor
- Santa Teresa, NM
National Provider Identifier
1740654391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0158051
- Legal business name
- SERGIO A LOYA
- Practice address
- 5300 McNutt Rd
Santa Teresa, NM 88008-9606 - Phone
- (915) 929-0554
- NPI assigned
- Nov 19, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sergio A Loya
- Title
- LPCC/Owner
- Phone
- (915) 929-0554
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0158051 | NM | Primary |
Addresses
Primary practice location
5300 McNutt Rd
Santa Teresa, NM 88008-9606
Mailing address
5300 McNutt Rd
Santa Teresa, NM 88008-9606
Phone (915) 929-0554
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548594559 | Other | NM | NPI TYPE 1 |
| 70782024 | Medicaid | NM |
National Provider Directory
National Provider DirectoryLocations
5300 McNutt Rd
Santa Teresa, NM 88008
Phone (915) 929-0554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1447891200000",
"number": "1740654391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 MCNUTT RD",
"city": "SANTA TERESA",
"state": "NM",
"postal_code": "880089606",
"telephone_number": "915-929-0554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5300 MCNUTT RD",
"city": "SANTA TERESA",
"state": "NM",
"postal_code": "880089606",
"telephone_number": "915-929-0554"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERGIO A LOYA",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-19",
"last_updated": "2015-11-19",
"status": "A",
"authorized_official_last_name": "LOYA",
"authorized_official_first_name": "SERGIO",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "LPCC/OWNER",
"authorized_official_telephone_number": "915-929-0554"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "0158051",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI TYPE 1",
"identifier": "1548594559",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "70782024",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Teresa, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.