Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1861784530 Individual Practitioner Female Practitioner

Kelyn Y De Matta

Counselor • Fort. Sumner, NM

Professional Overview & Biography Verified Profile Summary

Kelyn De Matta is a registered healthcare professional specializing in Counselor in Fort. Sumner, NM. Practice services are available at 678 AVENUE C under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

678 Avenue C

Fort. Sumner, NM 88119

Telephone 5753558326
Fax 5753558327
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Fort. Sumner, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
10 Specialists

Practicing in Fort. Sumner, NM (2026 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
NPI 1073847679
Gerald Sena

Counselor

NPI 1114294295
NPI 1164755146

TREATMENTCOORD

Tina Teal

Counselor

NPI 1215294525
NPI 1316231897
NPI 1376876342

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 12, 2011

NPI status registered as active in NPPES database

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Updated Practice Location May 12, 2011

Registered at 678 AVENUE C, FORT. SUMNER, NM 88119 (Tel: 5753558326)

📍
Updated Business Mailing Address May 12, 2011

Registered at PO BOX 28220, SANTA FE, NM 875928220 (Tel: 5054715006)

👤
Provider Name / Credentials Updated May 12, 2011

Recorded as KELYN DE MATTA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 12, 2011

Counselor

🟢
Initial NPI Registration & Enumeration May 12, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1861784530
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 12, 2011
Last Update: May 12, 2011
Sole Proprietor: No

Mailing Address

Po Box 28220

Santa Fe, NM 875928220

Phone: 5054715006

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.