Individual provider Active NPI

Sally M Telles, CSW

  • Addiction (Substance Use Disorder) Counselor
  • Las Cruces, NM
National Provider Identifier
1730416215
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
0124561 Issued in NM
Practice address
1001 N Solano Dr Ste a
Las Cruces, NM 88001-2366
Phone
(575) 201-3307
NPI assigned
Nov 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0124561 NM Primary

Addresses

Primary practice location

1001 N Solano Dr Ste a
Las Cruces, NM 88001-2366

Mailing address

901 W Hickory St
Deming, NM 88030-4046
Phone (575) 546-2174

Other practice location 1

800 East Ninth Avenue
Sierra Vista Hospital
Truth of Consequences, NM 87901
Phone (575) 743-1230

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

State licenses

LicenseStateTypeSpecialty
0124561NMMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1730416215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W HICKORY ST",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880304046",
            "telephone_number": "575-546-2174",
            "fax_number": "505-443-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N SOLANO DR STE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880012366",
            "telephone_number": "575-201-3307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 East Ninth Avenue",
            "address_2": "Sierra Vista Hospital",
            "address_purpose": "LOCATION",
            "city": "Truth of Consequences",
            "state": "NM",
            "postal_code": "87901",
            "country_code": "US",
            "telephone_number": "575-743-1230",
            "fax_number": "575-894-0835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TELLES",
        "first_name": "SALLY",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-04",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "0124561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.