BRENDA CARRILLO (NPI# 1366895237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366895237 |
| Entity Type | Individual |
| Full Name | BRENDA CARRILLO |
| Practice Address |
2112 E 4th St Ste 107 Santa Ana CA 92705-3849 |
| Practice Telephone | 7143991860 |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2016-07-15 |
| 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 |
|---|---|---|---|---|
| 1235598236 | Brenda M. Carrillo | Speech-Language Pathologist | 2146 S Standard Ave, Santa Ana, CA 92707-3035 | 2016-02-18 |
| 1558687244 | Brenda Carrillo | Counselor | 5555 Reservoir Dr Ste 204, San Diego, CA 92120 | 2010-04-20 |
| 1104327279 | Brenda Carrillo | Behavior Technician | 4719 Viewridge Ave Ste 100, San Diego, CA 92123-1685 | 2018-02-23 |
| 1356487698 | Brenda Elizabeth Carrillo | Psychologist | 4510 N 37th Ave, Phoenix, AZ 85019-3206 | 2007-01-30 |
| Street Address |
2112 E 4TH ST STE 107 |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92705-3849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295087401 | Ashley Carney | Social Worker | 2112 E 4th St Ste 107, Santa Ana, CA 92705-3849 | 2012-10-11 |
| 1730693771 | Cynthia Vega | Counselor | 2112 E 4th St Ste 107, Santa Ana, CA 92705-3849 | 2017-11-29 |
| 1285148452 | Mary Tere Gonzalez Navarro | Counselor | 2112 E 4th St Ste 107, Santa Ana, CA 92705-3849 | 2017-11-27 |
| 1760929889 | Katherine Olea | Social Worker | 2112 E 4th St Ste 107, Santa Ana, CA 92705-3849 | 2017-01-26 |
| 1255704003 | Josefina Maravilla | Counselor | 2112 E 4th St Ste 107, Santa Ana, CA 92705-3849 | 2015-11-02 |
| 1699143511 | Carlos Correa | Counselor | 2112 E 4th St Ste 107, Santa Ana, CA 92705-3849 | 2015-09-09 |
| 1508234428 | Susan Torres | Counselor | 2112 E 4th St Ste 107, Santa Ana, CA 92705-3849 | 2015-09-09 |
| 1558761957 | Margarita Quintero | Social Worker | 2112 E 4th St Ste 107, Santa Ana, CA 92705-3849 | 2014-09-04 |
| 1891117248 | John Mccourt | Social Worker | 2112 E 4th St Ste 107, Santa Ana, CA 92705-3849 | 2014-01-19 |
| 1912240680 | Rose Casillas | Social Worker | 2112 E 4th St Ste 107, Santa Ana, CA 92705-3849 | 2013-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952919763 | John G. Alevizos, D.o., A Professional Medical Corporation | Preventive Medicine | 1530 East Edinger Avenue, Suite 1, Santa Ana, CA 92705 | 2020-07-17 |
| 1477186625 | Joyce Altman Interpreters, Inc. | Interpreter | 1971 East 4th Street, Ste 206, Santa Ana, CA 92705 | 2020-02-17 |
| 1588214688 | Cindy Mejia | Behavior Technician | 505 N. Tustin Ave., #152, Santa Ana, CA 92705 | 2019-09-19 |
| 1588210504 | Jennifer Ang Lim-quevedo | Nurse Practitioner | 18362 Whitney Dr, Santa Ana, CA 92705 | 2019-08-15 |
| 1962056820 | Melinda Acosta Black | Social Worker | 1526 Brookhollow Drive, Santa Ana, CA 92705 | 2019-07-30 |
| 1972069631 | Amy Marie Elit | Nurse Practitioner | 1751 E Harry Ave, Santa Ana, CA 92705 | 2019-02-18 |
| 1386118180 | Unified Behavioral Health, LLC | Substance Abuse Rehabilitation Facility | 1218 W Santa Ana Blvd, Santa Ana, CA 92705 | 2019-01-15 |
| 1952884736 | Javier Perales | Social Worker | 1652 Windsor Ln, Santa Ana, CA 92705 | 2018-09-08 |
| 1073009700 | Eva E Kuncewicki | Marriage & Family Therapist | 1001 S Grand Ave # B, Santa Ana, CA 92705 | 2018-07-05 |
| 1487149886 | Nimbus Medtransport Inc. | Non-emergency Medical Transport (VAN) | 2112 E 4th St Ste 235, Santa Ana, CA 92705 | 2018-06-27 |
| Find all providers in zip 92705 | ||||
| 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 |
|---|---|---|---|---|
| 1760020911 | Benjamin Ross | Counselor | 3785 S Plaza Drive, Santa Ana, CA 92704-7463 | 2019-12-18 |
| 1962051235 | Armando Perez Navarrette Jr. | Counselor | 400 N Tustin Ave Ste 120, Santa Ana, CA 92705-3879 | 2019-09-09 |
| 1811450042 | Giovanna Marie Piazza | Counselor | 2318 Bonnie Brae, Santa Ana, CA 92706-1603 | 2019-04-14 |
| 1861908220 | Teresa Bowdry | Counselor | 1615 17th St, Suite 100, Santa Ana, CA 92705 | 2017-12-21 |
| 1952820730 | Rebecca Gabriela Terrones | Counselor | 1615 E. 17th St., Santa Ana, CA 92705 | 2017-09-13 |
| 1801313630 | Jesse Lopez | Counselor | 2130 East Fouth Street, Suite 200, Santa Ana, CA 92705 | 2017-08-23 |
| 1841710159 | Alan Olmedo | Counselor | 1615 E 17th Street, Santa Ana, CA 92705 | 2017-06-27 |
| 1740719178 | Miriam Alejandro Moreno-ortiz | Counselor | 1910 N. Bush St, Santa Ana, CA 92706 | 2017-06-08 |
| 1427407642 | Mariella I Ayllon | Counselor | 1615 E 17th St., #100, Santa Ana, CA 92705 | 2016-06-08 |
| 1518348317 | Kelly Pounds | Counselor | 2101 East First Street, Santa Ana, CA 92075 | 2015-06-17 |
| Find all providers in SANTA ANA | ||||
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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.