Individual provider Active NPI

Patricia Marie Telles, PH.S

  • Professional Counselor
  • Albuquerque, NM
National Provider Identifier
1003898222
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
.0588 Issued in NM
Practice address
652 Gene Ave NW
Albuquerque, NM 87107-5405
Phone
(505) 345-6772
Fax
(505) 246-8973
NPI assigned
Nov 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X .0588 NM Primary

Addresses

Primary practice location

652 Gene Ave NW
Albuquerque, NM 87107-5405

Mailing address

652 Gene Ave NW
Albuquerque, NM 87107-5405
Phone (505) 345-6772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250718003984 NM Practitioner - Mental Health Counselor 4880691146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dulcesalado Consultation and Therapeutic Services LLCGroup PAC ID 3173042074, 4 clinicians

Practice addresses (Care Compare)

4004 Carlisle Blvd NE
Suite B
Albuquerque, NM 87107-4566
Phone (505) 585-5024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Science

State licenses

LicenseStateTypeSpecialty
.0588NMMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dulcesalado Consultation and Therapeutic Services LLC CurrentSince May 23, 2025 Accepting new patients

Locations

4004 Carlisle Blvd NE
Ste B
Albuquerque, NM 87107
Phone (505) 274-1012

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.

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1003898222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 GENE AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871075405",
            "telephone_number": "505-345-6772",
            "fax_number": "505-246-8973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 GENE AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871075405",
            "telephone_number": "505-345-6772",
            "fax_number": "505-246-8973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELLES",
        "first_name": "PATRICIA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": ".0588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.