Matthias A Dietrich

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0224741 Issued in NM

Practice address

4600 Montgomery Blvd NE Ste B101
Albuquerque, NM 87109-1206

Phone

(505) 300-2635

NPI assigned

Jul 3, 2019

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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 and National Provider Directory roles.

• Tri Peak Behavioral Health LLC

  • Mental Health Counselor
  • Albuquerque, NM
  • NPI 1215762208
  NPD Authorized official
• Walsh Counseling Services LLC

  • Home Health Agency
  • Albuquerque, NM
  • NPI 1104398114
  NPD (past)

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1790347342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 RIDGECREST DR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871084453",
            "telephone_number": "505-363-2492",
            "fax_number": "505-266-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY BLVD NE STE B101",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091206",
            "telephone_number": "505-300-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETRICH",
        "first_name": "MATTHIAS",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-03",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0224741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Diesel, LMSW
• Timothy Sean Diesel, DOM, PA-C
• Daniel John Dieterichs, OD
• Dietitiansabq
• Charles Dietl, MD
• Christine Dietz, PT
• Dale D. Dietz, LCSW
• Hannah Lee Dietz
• Elaine Marie Difederico, M.D.
• Michael Digirolamo, M.D.

• Professional Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Professional Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.