ELENA CARRILLO


Address: 1208 9th St, Modesto, CA 95354-0713
Phone: 2095584464

ELENA CARRILLO (NPI# 1740304765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740304765
Entity Type Individual
Full Name ELENA CARRILLO
Practice Address 1208 9th St
Modesto
CA 95354-0713
Mailing Address 800 Scenic Dr
Modesto
CA 95350-6131
Practice Telephone 2095584464
Mailing Telephone 2095584464
Enumeration Date 2007-03-16
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA CASE MANAGER 171M00000X 01

Office Location

Street Address 1208 9TH ST
City MODESTO
State CA
Zip Code 95354-0713

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316968654 Patricia E Conteh Nurse Practitioner 1208 9th St, Modesto, CA 95354-0713 2006-07-22
1699331876 Kong Meng Vang Technician 1208 9th St, Modesto, CA 95354-0713 2019-05-14
1881257426 Nathan Watkins Woolbright Technician 1208 9th St, Modesto, CA 95354-0713 2019-04-18
1508203951 Elizabeth Purto Counselor 1208 9th St, Modesto, CA 95354-0713 2013-05-24
1174877823 Stanislaus County Exclusive Provider Organization 1208 9th St, Modesto, CA 95354-0713 2012-11-02
1568797728 Maria Alicia Anaya Counselor 1208 9th St, Modesto, Modesto, CA 95354-0713 2009-10-06
1528221918 Daphine Lamb-perrilliat Counselor 1208 9th St, Modesto, CA 95354-0713 2008-07-07
1083887491 Michelle Ann Draper Counselor 1208 9th St, Modesto, CA 95354-0713 2008-04-07
1700064193 Telecare Corporation Clinic/Center 1208 9th St, Modesto, CA 95354-0713 2008-02-07
1205013844 County of Stanislaus Community/Behavioral Health 1208 9th St, Modesto, CA 95354 2008-01-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669987301 Tristan Renee Bowman Student in an Organized Health Care Education/Training Program 1700 Mchenry Way, Modesto, CA 95354 2017-12-04
1134647944 Melissa Kathleen Huizar Occupational Therapist 730 17th Street, Modesto, CA 95354 2017-08-31
1861948424 Daniel Jones Specialist/Technologist 224 Eula Drive, Modesto, CA 95354 2016-09-01
1710333976 Elite First Health Clinic/Center 3121 Yosemite Blvd Ste D2, Modesto, CA 95354 2016-05-06
1790169084 Ronika Rodriguez Licensed Vocational Nurse 328 Thrasher Ave, Modesto, CA 95354 2015-07-16
1942688528 Progressive Home Health and Hospice Care, LLC Home Infusion 1619 H Street, Modesto, CA 95354 2015-05-14
1225434277 Ashley Ann Brown Case Manager/Care Coordinator 1000 Needham, Modesto, CA 95354 2014-11-18
1922380518 Thao Truong Specialist 1321 I St Ste #3, Modesto, CA 95354 2011-09-09
1437441938 Amy Marie Lipomi Counselor 613 13th Street, Suite B, Modesto, CA 95354 2011-05-03
1871800813 Patricia Ashley Dalman Social Worker 1321 I Street Suite 3, Modesto, CA 95354 2010-09-13
Find all providers in zip 95354

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043845357 Anthony Rodriguez Contreras Counselor 2360 Scenic Dr, Modesto, CA 95355-4505 2020-03-06
1821567645 Aricka Ream Counselor 1704 Groveton Way, Modesto, CA 95355-1904 2018-11-21
1831668466 Palepa Iulio Counselor 3005 Cannon Way Apt A, Modesto, CA 95354-2155 2018-11-13
1104364801 Catherine Mae Linville Counselor 1030 15th St, Modesto, CA 95354-1102 2017-02-02
1417492182 Chaqulia Anita Ramirez Counselor 2020 Standiford Ave # Suitef3, Modesto, CA 95350-6529 2017-01-04
1588061337 Ashley Boyd Counselor 1336 Stonum Rd, Modesto, CA 95351-5121 2014-11-21
1720482136 Shari Johnson Counselor 1517 Panthers Ln, Modesto, CA 95355-9303 2014-10-14
1407126469 Tommy Phoukhaothong Panyanouvong Counselor 1300 Payne Ave, Modesto, CA 95351-4821 2012-01-09
1740579424 Milissa Ann Catherine-plett Counselor 108 Bonita Cir, Modesto, CA 95354-1410 2011-04-01
1205144318 Brianna Decoteau Counselor 916 Mchenry, Modesto, CA 95350 2010-09-23
Find all providers in MODESTO

Competitor

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City MODESTO
Zip Code 95354

Improve Information

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Dataset Information

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.

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