Individual provider Active NPI

Tiffany Trujillo, MA LMHC

  • Professional Counselor
  • Albuquerque, NM
National Provider Identifier
1417404989
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CTB-2024-0515 Issued in NM
Practice address
1721 Girard Blvd NE
Albuquerque, NM 87106-1718
Phone
(505) 318-0253
Fax
(707) 444-8368
NPI assigned
Sep 1, 2016
Last updated
Sep 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CTB-2024-0515 NM Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

1721 Girard Blvd NE
Albuquerque, NM 87106-1718

Mailing address

1721 Girard Blvd NE
Albuquerque, NM 87106-1718
Phone (505) 318-0253

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
I20260121001428 NM Practitioner - Mental Health Counselor 9032696299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6300 Calle Amorada CT NW
Albuquerque, NM 87114-5354

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
CTB-2024-0515NMMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Mind Health LLC Professional CurrentSince Dec 1, 2025 Accepting new patients
Infinite Possibilities, Inc. Mental Health Past Accepting new patients

Locations

500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685

Organizations & group practices 2

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": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1417404989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 GIRARD BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871061718",
            "telephone_number": "505-318-0253",
            "fax_number": "707-444-8368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 GIRARD BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871061718",
            "telephone_number": "505-318-0253",
            "fax_number": "707-444-8368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUJILLO",
        "first_name": "TIFFANY",
        "credential": "MA LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "CTB-2024-0515",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.