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KELYN Y DE MATTA
NPI 1861784530
Counselor in Fort. Sumner, NM

Active since May 12, 2011
678 AVENUE C, FORT. SUMNER, NM 88119(575) 355-8326(575) 355-8327 Get Directions Write a Review

NPPES record last updated: May 12, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelyn Y De Matta NPPES

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

KELYN Y DE MATTA (NPI 1861784530) is an individual counselor in Fort. Sumner, New Mexico and active in the NPI registry since May 2011.

NPPES Registry Identity

NPI1861784530
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKELYN Y DE MATTA
Location Address678 AVENUE CFort. Sumner, NM 88119
Mailing AddressPo Box 28220Santa Fe, NM 87592-8220 · (505) 471-5006 · Fax (505) 820-9220
Phone(575) 355-8326
Fax(575) 355-8327
Sole ProprietorNo
Enumeration DateMay 12, 2011
✔ NPI 1861784530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
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.
678 AVENUE C, Fort. Sumner, NM 88119
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Other Providers at the Same Location NPPES 11

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

DORENE JARAMILLO BMS
Counselor
678 AVENUE C
FORT SUMNER, NM 88119
De Baca County (575) 355-8326
PATRICIA A. SENA TREATMENT COORD
Counselor
678 AVENUE C
FORT SUMNER, NM 88119
De Baca County (575) 355-8326
TINA TEAL
Counselor
678 AVENUE C
FORT SUMNER, NM 88119
De Baca County (575) 355-8326
SHELLY RENEE LANDRETH
Counselor
678 AVENUE C
FT. SUMNER, NM 88119
De Baca County (575) 355-8326
JESICA C. TALLEY BMS
Counselor
678 AVENUE C
FORT SUMNER, NM 88119
De Baca County (575) 355-8326
BRENTON WILLIAMSON BMS
Counselor
678 AVENUE C
FT. SUMNER, NM 88119
De Baca County (575) 355-8326
ALICIA N SEGURA BMS
Counselor
678 AVENUE C
FORT SUMNER, NM 88119
De Baca County (575) 355-8326
DE BACA FAMILY PRACTICE CLINIC
Clinic/Center (Federally Qualified Health Center (FQHC))
678 AVENUE C
FORT SUMNER, NM 88119
De Baca County (575) 355-2417

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 Kelyn De Matta's NPI number?

The NPI number for Kelyn De Matta is 1861784530. It was assigned to this individual provider in the NPPES registry on May 12, 2011.

Where is Kelyn De Matta located?

Kelyn De Matta practices at 678 Avenue C, Fort. Sumner, NM 88119. The listed phone number is (575) 355-8326.

What is Kelyn De Matta'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 Kelyn De Matta was last updated on May 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.