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THOMAS MATTHEW SISTRUNK III
NPI 1790050623
Counselor in Las Cruces, NM

Active since March 10, 2012
2205 S MAIN ST, A, LAS CRUCES, NM 88005(915) 355-1411 Get Directions Write a Review

NPPES record last updated: June 4, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Thomas Matthew Sistrunk Iii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS MATTHEW SISTRUNK III (NPI 1790050623) is an individual counselor in Las Cruces, New Mexico, licensed in New Mexico (1790050623) and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1790050623
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameTHOMAS MATTHEW SISTRUNK III
Location Address2205 S MAIN ST, ALas Cruces, NM 88005-3113
Mailing Address2205 S Main St, ALas Cruces, NM 88005-3113 · (915) 355-1411
Phone(915) 355-1411
Sole ProprietorNo
Enumeration DateMarch 10, 2012
Last NPPES UpdateJune 4, 2012
✔ NPI 1790050623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in NM · 1790050623
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
2205 S MAIN ST, Las Cruces, NM 88005
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH DABBS
Counselor
2205 S MAIN ST
LAS CRUCES, NM 88005
Doña Ana County (575) 386-4184
SIJUOLA SHABAZZ
Counselor
2205 S MAIN ST
LAS CRUCES, NM 88005
Doña Ana County (575) 386-4184
SALLY E. ROCHEL
Counselor (Mental Health)
2205 S MAIN ST
LAS CRUCES, NM 88005
Doña Ana County (915) 328-5627
DENNY MUNOZ
Counselor
2205 S MAIN ST
LAS CRUCES, NM 88005
Doña Ana County (575) 386-4184
JOSE TAPIA
Counselor
2205 S MAIN ST
LAS CRUCES, NM 88005
Doña Ana County (575) 386-4184
MS. KAREN E MCCLARY PT
Physical Therapist
2205 S MAIN ST
LAS CRUCES, NM 88005
Doña Ana County (575) 652-3515
ZACHARY BRADLEY JACKSON DPT
Physical Therapist
2205 S MAIN ST
LAS CRUCES, NM 88005
Doña Ana County (575) 652-3515
JESUS JIMENEZ
Counselor
2205 S MAIN ST
LAS CRUCES, NM 88005
Doña Ana County (575) 386-4184

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Sistrunk's NPI number?

The NPI number for Thomas Sistrunk is 1790050623. It was assigned to this individual provider in the NPPES registry on March 10, 2012.

Where is Thomas Sistrunk located?

Thomas Sistrunk practices at 2205 S Main St A, Las Cruces, NM 88005. The listed phone number is (915) 355-1411.

What is Thomas Sistrunk's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Thomas Sistrunk was last updated on June 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.