RENEE CARRILLO (NPI# 1871131300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871131300 |
| Entity Type | Individual |
| Full Name | RENEE CARRILLO |
| Practice Address |
2112 Main St Ne Ste A Los Lunas NM 87031-7097 |
| Mailing Address |
2441 Cabezon Blvd Se Rio Rancho NM 87124-1576 |
| Practice Telephone | 5057171155 |
| Practice Fax Number | 5057171473 |
| Mailing Telephone | 5057171155 |
| Mailing Fax Number | 5057171473 |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2019-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194132506 | Renee Jean Carrillo | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2014-07-17 |
| Street Address |
2112 MAIN ST NE STE A |
| City | LOS LUNAS |
| State | NM |
| Zip Code | 87031-7097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659598597 | Namaste Inc. | Counselor | 2112 Main St Ne Ste A, Los Lunas, NM 87031-6353 | 2007-04-20 |
| 1457997959 | Stacey Marentes-arvizo | Counselor | 2112 Main St Ne Ste A, Los Lunas, NM 87031-7097 | 2019-11-20 |
| 1376028035 | Kara Nicole Satches | Counselor | 2112 Main St Ne Ste A, Los Lunas, NM 87031-7097 | 2018-09-28 |
| 1912406539 | Caroline Valverde | Counselor | 2112 Main St Ne Ste A, Los Lunas, NM 87031-7097 | 2018-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407466212 | Juanita Arcelia Flores-hull | Registered Nurse | 19670 Highway 314, Belen, NM 87031 | 2020-08-06 |
| 1184267171 | Nicole Andrea Bassett | Registered Nurse | 236 Don Pasqual Rd, Los Lunas, NM 87031 | 2019-10-22 |
| 1922649359 | Darrel Thompson | Physical Therapist | 2211 Main St, Ne, Los Lunas, NM 87031 | 2019-10-07 |
| 1407415235 | Brittany Leigh Dow | Family Medicine | 328 Main St Sw, Los Lunas, NM 87031 | 2019-06-05 |
| 1942764162 | Christine Beevers | Occupational Therapy Assistant | 310 Bonita Vista Blvd, Los Lunas, NM 87031 | 2019-01-23 |
| 1669953105 | Patricia A Ziehl | Occupational Therapy Assistant | 119 Luna Ave., Los Lunas, NM 87031 | 2018-08-23 |
| 1922500776 | Mellisa Marie Everett | Massage Therapist | 3414 Nm- 47, Los Lunas, NM 87031 | 2018-03-07 |
| 1831699917 | Nachelle Lynn Pell | Registered Nurse | 310 Bonita Vista, Los Lunas, NM 87031 | 2018-02-15 |
| 1053829135 | Valencia Denise Jackson | Registered Nurse | 46 Chacon Rd., Los Lunas, NM 87031 | 2018-01-11 |
| 1548777972 | Aja Santana Armijo | Speech-Language Pathologist | 46 Chacon Blvd., Los Lunas, NM 87031 | 2018-01-08 |
| Find all providers in zip 87031 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063940203 | Ashley Deanda | Counselor | 719 Los Lentes Road Ne, Los Lunas, NM 87031 | 2017-06-01 |
| 1851798185 | Ruth Garcia | Counselor | 428 S. Los Lentes Rd, Los Lunas, NM 87031-5242 | 2014-12-02 |
| 1699077628 | Maile Leyba | Counselor | 445 Camino Del Rey Ste B, Los Lunas, NM 87031-8649 | 2010-11-23 |
| 1326348301 | Leslie E. Vargas | Counselor | 631 Blue Sage Ave Sw, Los Lunas, NM 87031-6616 | 2010-10-25 |
| 1386618262 | Amy Diane Osborne | Counselor | 739 Don Pasqual, Los Lunas, NM 87031 | 2006-02-15 |
| 1912406539 | Caroline Valverde | Counselor | 2112 Main St Ne Ste A, Los Lunas, NM 87031-7097 | 2018-02-09 |
| 1548620164 | Leona Peseke | Counselor | 750 Morris Rd Se, Los Lunas, NM 87031-5242 | 2016-02-24 |
| 1790159036 | Gilbert Romero | Counselor | 750 Morris Rd Se, Los Lunas, NM 87031-5242 | 2015-11-24 |
| 1134503972 | Valerie Romero | Counselor | 750 Morris Rd Se, Los Lunas, NM 87031-5242 | 2015-07-10 |
| 1023406535 | Gloria Galvan-caes | Counselor | 750 Morris Rd Se, Los Lunas, NM 87031-5242 | 2015-01-06 |
| Find all providers in LOS LUNAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.