Individual provider Active NPI

Elisharose Trujillo, LMHC

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1114219904
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
T-0138201 Issued in NM
Practice address
833 Lomas Blvd NW
Albuquerque, NM 87102-1955
Phone
(505) 247-7492
NPI assigned
May 11, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X T-0138201 NM Primary

Addresses

Primary practice location

833 Lomas Blvd NW
Albuquerque, NM 87102-1955

Mailing address

833 Lomas Blvd NW
Albuquerque, NM 87102-1955
Phone (505) 429-2178

Other practice location 1

4710 Jefferson St NE
Albuquerque, NM 87109-2155
Phone (505) 884-1114

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
I20250827001403 NM Practitioner - Mental Health Counselor 8628579265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

134 La Vega Dr SW
Albuquerque, NM 87105-3871

833 Lomas Blvd NW
Albuquerque, NM 87102-1955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T-0138201NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Solamente Holistic Health Mental Health CurrentSince Jul 6, 2025 Accepting new patients

Locations

833 Lomas Blvd NW
Albuquerque, NM 87102
Phone (505) 247-7492

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": "1305072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1114219904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 LOMAS BLVD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871021955",
            "telephone_number": "505-429-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 LOMAS BLVD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871021955",
            "telephone_number": "505-247-7492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4710 Jefferson St NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871092155",
            "country_code": "US",
            "telephone_number": "505-884-1114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUJILLO",
        "first_name": "ELISHAROSE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-11",
        "last_updated": "2022-12-02",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "T-0138201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.