Dulce A Medina Bustillos, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SWB-2023-0147 Issued in NM

Practice address

7520 Montgomery Blvd NE BLDG E15
Albuquerque, NM 87109-1586

Phone

(505) 226-6380

Fax

(505) 214-5852

NPI assigned

Aug 7, 2018

Last updated

Oct 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Unabridged Counseling and Coaching, LLCGroup PAC ID 6709145816, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Unabridged Counseling and Coaching, LLC

  dba Whole Self Counseling

  • Community/Behavioral Health Agency
  • Albuquerque, NM
  • NPI 1942713151
  Medicare reassignment Care Compare group NPD
• Centro Savila LLC

  • Community/Behavioral Health Agency
  • Albuquerque, NM
  • NPI 1801159884
  NPD (past)
• The Savila Collaborative

  dba Centro Savila

  • Community/Behavioral Health Agency
  • Albuquerque, NM
  • NPI 1154678639
  NPD (past)

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1619456126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 SEVEN FALLS PL SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871213560",
            "telephone_number": "505-433-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7520 MONTGOMERY BLVD NE BLDG E15",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091586",
            "telephone_number": "505-226-6380",
            "fax_number": "505-214-5852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1317 Isleta Blvd SW",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871054035",
            "country_code": "US",
            "telephone_number": "505-312-7296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDINA BUSTILLOS",
        "first_name": "DULCE",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-07",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "SWB-2023-0147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Whisperer Janet L Blanchard MD Internal Medicine Consultantllc
• Jacqueline Medici
• Medicine at Downtown LTD.
• Medicine Massage
• Medify Drop LLC
• Dalia M Medina-Bustillos, MSW
• Bianca Ann Medina, LSAA, CNA, RMA
• Celestina Medina, L.M.T
• Christina Jennifer Medina, OTR/L
• Colleen Rose Medina

• Clinical Social Worker in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.