Clout Treatment

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

CLOUT TREATMENT

Practice address

111 Ramble LN Ste 120D
Austin, TX 78745-2278

Phone

(512) 921-1481

NPI assigned

Jan 10, 2022

Organization subpart

No

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

Authorized official

Name

Deserah TellesNPI 1306484654

Title

Founder/Psychotherapist

Phone

(512) 921-1481

Specialties & licenses 1

Addresses

Other names 1

• Clout Treatment Former legal business name

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deserah Telles, LPC, PHD

  • Professional Counselor
  • Austin, TX
  • NPI 1306484654
  NPD Authorized official

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1700537958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 CARDINAL DR",
            "city": "MANCHACA",
            "state": "TX",
            "postal_code": "786524131",
            "telephone_number": "512-921-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 RAMBLE LN STE 120D",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787452278",
            "telephone_number": "512-921-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOUT TREATMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "TELLES",
        "authorized_official_first_name": "DESERAH",
        "authorized_official_title_or_position": "FOUNDER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "512-921-1481"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://tellescounseling.wixsite.com/clout",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "111 Ramble Ln Ste 120D",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787452278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Clout Treatment",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Addiction (Substance Use Disorder) Counselor in Austin, TX
• Providers in Austin, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.