Elias Cristobal Tollardo, LADAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

3999 Issued in NM

Practice address

1335 Gusdorf Road
Building E
Taos, NM 87571-5227

Phone

(575) 758-0670

Fax

(575) 751-3557

NPI assigned

Sep 17, 2009

Last updated

Oct 23, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Human Resource Development Associates, Inc.

  • Mental Health Counselor
  • Taos, NM
  • NPI 1720206113

  Addiction (Substance Use Disorder)

  NPD (past)
• Rapha Provider Agency LLC

  • Clinical Social Worker
  • Taos, NM
  • NPI 1588200984
  NPD (past)

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414022400000",
    "number": "1164755401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 KIT CARSON RD",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716443",
            "telephone_number": "575-758-0670",
            "fax_number": "575-751-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 GUSDORF ROAD",
            "address_2": "BUILDING E",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875715227",
            "telephone_number": "575-758-0670",
            "fax_number": "575-751-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLLARDO",
        "first_name": "ELIAS",
        "middle_name": "CRISTOBAL",
        "name_prefix": "Mr.",
        "credential": "LADAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-17",
        "last_updated": "2014-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "3999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• TLC Hospice, L.L.C. (Taos Hospice Facility)
• TLC Hospice, L.L.C. (Anvoi New Mexico)
• TLC Hospice, L.L.C. (Taos Home Care Services, Home Health Division)
• Linda Jean Todd, M.S.S.W., A.C.S.W.,
• Carolyn J Tokle Brown, LISW
• Alexis Tonioni
• Kelly Tonrey
• Angela Torres
• Dustin Torres, BMS
• Karla Torres, BMS

• Addiction (Substance Use Disorder) Counselor in Taos, NM
• Providers in Taos, NM by specialty
• Addiction (Substance Use Disorder) Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.