Active NPI
Sofia Rosas
- Mental Health Counselor
- Arlington, TX
National Provider Identifier
1821845157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CHTL4650
- Practice address
- 1402 Janann Ave
Arlington, TX 76014-1426 - Phone
- (817) 899-3490
- NPI assigned
- May 3, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Drama Therapist | 101200000X | CCHL4650 | CA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CHTL4650 | CA | |
| Professional Counselor | 101YP2500X | CHTL4650 | CA | |
| Behavior Analyst | 103K00000X | CCHL4650 | CA | |
| Behavior Technician | 106S00000X | ACHL4650 | CA | |
| Dietary Manager | 132700000X | MHM4659 | CA | |
| Prevention Professional | 405300000X | CCHL4650 | CA | |
| Mental Health Counselor | 101YM0800X | CHTL4650 | CA | Primary |
Addresses
Primary practice location
1402 Janann Ave
Arlington, TX 76014-1426
Mailing address
1402 Janann Ave
Arlington, TX 76014-1426
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHTL4650 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| ACHL4650 | CA | MD | Behavior Technician |
| MHM4659 | CA | MD | Dietary Manager |
| CCHL4650 | CA | MD | Prevention Professional |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Potenxial by Sofy LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Arlington, TX
- NPI 1285474510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714694400000",
"number": "1821845157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1402 JANANN AVE",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760141426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 JANANN AVE",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760141426",
"telephone_number": "817-899-3490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSAS",
"first_name": "SOFIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-03",
"last_updated": "2024-05-03",
"certification_date": "2024-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "101200000X",
"taxonomy_group": "",
"desc": "Drama Therapist",
"state": "CA",
"license": "CCHL4650",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "CHTL4650",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "CHTL4650",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "CCHL4650",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "ACHL4650",
"primary": false
},
{
"code": "132700000X",
"taxonomy_group": "",
"desc": "Dietary Manager",
"state": "CA",
"license": "MHM4659",
"primary": false
},
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "CA",
"license": "CCHL4650",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "CHTL4650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.