| Mayra Colin Carrillo, LPC | |
|
104 S.w. Kinkade Rd., Boardman, OR 97818 | |
| (541) 481-2911 | |
| (541) 481-2006 |
| Full Name | Mayra Colin Carrillo |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 7 Years |
| Location | 104 S.w. Kinkade Rd., Boardman, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801151121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | C7959 (Oregon) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Counseling Solutions | 0446484885 | 22 |
| Entity Name | Community Counseling Solutions |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487992665 PECOS PAC ID: 0446484885 Enrollment ID: O20150825005568 |
| Mailing Address | Practice Location Address |
|---|---|
| Mayra Colin Carrillo, LPC Po Box 469, Heppner, OR 97836-0469 Ph: (541) 676-9161 | Mayra Colin Carrillo, LPC 104 S.w. Kinkade Rd., Boardman, OR 97818 Ph: (541) 481-2911 |
Stephanie Cronen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 70362 Kunze Ln, Boardman, OR 97818 Phone: 541-481-3233 Fax: 541-481-3234 | |
Letisia Ruiz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 70362 Kunze Ln, Boardman, OR 97818 Phone: 541-481-3233 Fax: 541-481-3234 | |
Samantha T Tompkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 70362 Kunze Ln, Boardman, OR 97818 Phone: 541-481-3233 Fax: 541-481-3234 | |
Jessie Blakeman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 70362 Kunze Ln, Boardman, OR 97818 Phone: 541-481-3233 Fax: 541-481-3234 | |
Carla C Llamas, QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 70362 Kunze Ln, Boardman, OR 97818 Phone: 541-481-3233 Fax: 541-481-3234 | |
Zaira Sanchez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 Sw Kinkade Avenue, Boardman, OR 97836 Phone: 541-481-2911 | |
Jordan Jess Connell, QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 104 Sw Kinkade Avenue, Boardman, OR 97818 Phone: 541-481-2911 Fax: 541-481-2006 |