Jessica Marie Sotelo

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2615 S Miller St Ste 106
Santa Maria, CA 93455-1775

Phone

(805) 264-3793

NPI assigned

Mar 10, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1740938695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 S MILLER ST STE 106",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 S MILLER ST STE 106",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551775",
            "telephone_number": "805-264-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTELO",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsotelo@casapacifica.org",
            "affiliation": "Y",
            "affiliationName": "Casa Pacifica",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2615 S Miller St Ste 106",
            "city": "Santa Maria",
            "state": "CA",
            "country_code": "US",
            "postal_code": "934551775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nawka Soni
• Soon C Kwon DDS Inc
• Maria Guadalupe Soria-Banales, ACSW
• Magdalena Sosa
• Carla Sotelo, LMFT
• Pedro Uvias Sotelo Jr.
• Cindy Soto
• Leticia Villalobos Soto
• Lindsay E Soto
• Sophiegrace Soto

• Mental Health Counselor in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.