Organization Active NPI

Sergio a Loya

  • Mental Health Counselor
  • Santa Teresa, NM
National Provider Identifier
1740654391
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0158051 Issued in NM
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

Updated by the provider on Nov 19, 2015

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1548594559OtherNMNPI TYPE 1
70782024MedicaidNM

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.