Ralph Tellez, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2758 Issued in NM

Practice address

601 W 2ND St
Suite 10
Roswell, NM 88201-4670

Phone

(575) 623-9322

Fax

(575) 627-6339

NPI assigned

Dec 5, 2008

Last updated

Dec 5, 2008By 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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228435200000",
    "number": "1225273162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 W ALAMEDA ST",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882034502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W 2ND ST",
            "address_2": "SUITE 10",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882014670",
            "telephone_number": "575-623-9322",
            "fax_number": "575-627-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELLEZ",
        "first_name": "RALPH",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-05",
        "last_updated": "2008-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "2758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Orthodontics LLC (Taylor Orthodontics)
• Connor Taylor
• Elizabeth A Taylor
• Michael Martin Taylor, DDS, MSD
• Lidice Tejeda Hernandez
• Katherine M Thatcher, CNP
• The Peak at Santa Teresa, Inc. (The Peak Treatment Foster Care)
• The Smiling Lotus, LLC (The Smiling Lotus Counseling and Consultation)
• The Willow Foundation
• Helga Theimer

• Mental Health Counselor in Roswell, NM
• Providers in Roswell, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; 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.