MEDICARE: SARAH JANE HO LPCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	CCMH0212581	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	CCMH0212581	OTHER	NM	STATE ISSUED LICENSE

General Provider Information

NPI Number	:	1477049856
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH JANE HO LPCC

Provider Business Mailing Address
First Line	:	6323 CORTE ALZIRA NW
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87114-4989
Country	:	US
Telephone Number	:	505-218-7321
Fax Number	:

Provider Business Practice Location Address
First Line	:	6911 TAYLOR RANCH RD NW STE C8
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87120-2962
Country	:	US
Telephone Number	:	505-218-7321
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2018
Last Update Date	:	08/10/2025

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Directions to “ SARAH JANE HO LPCC” Practice Location

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