Individual provider Active NPI

Carmen Christine Telles, MS

  • Marriage & Family Therapist
  • Palm Springs, CA
National Provider Identifier
1700583481
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
120884 Issued in CA
Practice address
668 N Palm Canyon Dr Ste 103
Palm Springs, CA 92262-5574
Phone
(760) 332-8073
NPI assigned
Feb 13, 2023
Last updated
Feb 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 120884 CA Primary

Addresses

Primary practice location

668 N Palm Canyon Dr Ste 103
Palm Springs, CA 92262-5574

Mailing address

3227 Milkweed LN
Perris, CA 92571-7586
Phone (951) 230-2116

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
Master of Science

State licenses

LicenseStateTypeSpecialty
120884CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hope & Healing Community Support Marriage & Family Therapist PastSince Dec 15, 2024 Accepting new patients
Hernandez Marriage & Family Counseling Corp. Marriage & Family Therapist PastSince Feb 19, 2023 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1700583481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3227 MILKWEED LN",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925717586",
            "telephone_number": "951-230-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 N PALM CANYON DR STE 103",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922625574",
            "telephone_number": "760-332-8073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELLES",
        "first_name": "CARMEN",
        "middle_name": "CHRISTINE",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2020-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "120884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.