Active NPI
Deserah Telles, LPC, PHD
- Professional Counselor
- Austin, TX
National Provider Identifier
1306484654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 77502
- Practice address
- 111 Ramble LN Ste 120
Austin, TX 78745-2281 - Phone
- (512) 921-1481
- NPI assigned
- Dec 17, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 77502 | TX | Primary |
Addresses
Primary practice location
111 Ramble LN Ste 120
Austin, TX 78745-2281
Mailing address
111 Ramble LN Ste 120
Austin, TX 78745-2281
Phone (512) 921-1481
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77502 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clout Treatment | Current | Accepting new patients | |
| Tell US Counseling PLLC | Current | Accepting new patients | |
| Tell US Counseling PLLC | Current | Accepting new patients |
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624752000000",
"number": "1306484654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 RAMBLE LN STE 120",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787452281",
"telephone_number": "512-921-1481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 RAMBLE LN STE 120",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787452281",
"telephone_number": "512-921-1481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TELLES",
"first_name": "DESERAH",
"name_prefix": "Dr.",
"credential": "LPC, PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-17",
"last_updated": "2021-06-27",
"certification_date": "2021-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "77502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.