Individual provider Active NPI

Cynthia Tollen

  • Professional Counselor
  • El Prado, NM
National Provider Identifier
1184460719
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
99967 Issued in TX
Practice address
36 Sr 522
Unit 6
El Prado, NM 87571
Phone
(575) 770-8903
Fax
(575) 339-2041
NPI assigned
Jul 3, 2024
Last updated
Jul 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CTB-2024-0404 NM
Professional Counselor 101YP2500X 99967 TX Primary

Addresses

Primary practice location

36 Sr 522
Unit 6
El Prado, NM 87571

Mailing address

805 Royal Oak CT
El Paso, TX 79932-2513
Phone (575) 770-8903

Other practice location 1

220 Thunderbird Dr Ste 14
El Paso, TX 79912-3911
Phone (915) 800-3833

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
I20250227002581 NM Practitioner - Mental Health Counselor 7618497017 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CTB-2024-0404NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Chrysalis Counseling Group, PLLC Mental Health CurrentSince Nov 30, 2025 Accepting new patients
Border Area Mental Health Services, Inc Single Specialty CurrentSince Jan 1, 2025 Accepting new patients
Foundations Senior Service Inc Mental Health Past Accepting new patients
New Mexico Health Options PastSince Jan 1, 2025 Accepting new patients

Locations

401 Anthony Dr
Ste G
Anthony, NM 88021
Phone (832) 865-2183

429 E Olive St
Deming, NM 88030
Phone (505) 546-4115

100 W Griggs Ave
Las Cruces, NM 88001
Phone (505) 647-2800

315 S Hudson St
Ste 12
Silver City, NM 88061
Phone (575) 388-4497

220 Thunderbird Dr
Ste 14
El Paso, TX 79912
Phone (915) 726-9925

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1184460719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 ROYAL OAK CT",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799322513",
            "telephone_number": "575-770-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 SR 522",
            "address_2": "UNIT 6",
            "city": "EL PRADO",
            "state": "NM",
            "postal_code": "87571",
            "telephone_number": "575-770-8903",
            "fax_number": "575-339-2041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Thunderbird Dr Ste 14",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799123911",
            "country_code": "US",
            "telephone_number": "915-800-3833",
            "fax_number": "915-292-6698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOLLEN",
        "first_name": "CYNTHIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-03",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CTB-2024-0404",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "99967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Prado, NM

Sources for this page

Verify at the official NPI Registry.