BRENDA CARRILLO
Counselor

Address: 5555 Reservoir Dr Ste 204, San Diego, CA 92120

BRENDA CARRILLO (NPI# 1558687244) 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) 1558687244
Entity Type Individual
Full Name MISS BRENDA CARRILLO
Gender Female
Credential M.A.
Practice Address 5555 Reservoir Dr Ste 204
San Diego
CA 92120
Practice Telephone 8585732600
Mailing Address 5555 Reservoir Dr Ste 204
San Diego
CA 92120-5137
Mailing Telephone 8585732600
Enumeration Date 2010-04-20
Last Update Date 2019-05-29
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
N 101Y00000X Counselor Behavioral Health & Social Service Providers
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
N 103T00000X Psychologist Behavioral Health & Social Service Providers

Other Provider Identifiers

Identifier State Issuer Type Code
1558687244 CA MEDICAID

Provider Secondary Practice Locations

Address Telephone Number Fax Number
3025 Beyer Blvd Ste E-101, San Diego, CA 921543432 6194285533

Providers with the same name

NPI Name Taxonomy Address Enumeration
1104327279 Brenda Carrillo Behavior Technician 4719 Viewridge Ave Ste 100, San Diego, CA 92123-1685 2018-02-23
1366895237 Brenda Carrillo Social Worker - Clinical 1940 E Deere Ave, Santa Ana, CA 92705-5718 2016-07-15

Office Location

Street Address 5555 RESERVOIR DR STE 204
City SAN DIEGO
State CA
Zip Code 92120

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952764888 Katharine Caroline Mcdonald Counselor 5555 Reservoir Dr Ste 204a, San Diego, CA 92120-5134 2016-03-29
1699073262 Kristine Villanueva Marriage & Family Therapist 5555 Reservoir Dr Ste 204-A, San Diego, CA 92120 2011-03-07
1598370314 Brittney Green Student in an Organized Health Care Education/Training Program 5555 Reservoir Dr Ste 204a, San Diego, CA 92120-5134 2020-09-09
1134727209 Christopher Schoenherr Student in an Organized Health Care Education/Training Program 5555 Reservoir Dr Ste 204a, San Diego, CA 92120-5134 2020-10-12
1740846542 Mental Health Systems, Inc. · Alianza Wellness Center Clinic/Center - Community Health 5555 Reservoir Dr Ste 204a, San Diego, CA 92120-5134 2019-05-16

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1003318221 Hamilton To Case Manager/Care Coordinator 6160 Mission Gorge Rd Ste 100, San Diego, CA 92120 2018-03-03
1306379359 Ken Samith Oerding · Ken Samith Vorn Nurse Practitioner - Family 5422 Reservoir Drive, E7, San Diego Ca, CA 92120 2017-04-06
1821494717 Shohreh Tourian Dentist - General Practice 7451 Mission Gorge Road, San Diego, CA 92120 2014-11-05
1245598093 Samantha Browde Dietitian, Registered 4647 Zion Avenue, San Diego, CA 92120 2012-04-30
1144536798 Gary H. Thomas Pharmacist 6505 Mission Gorge Rd., San Diego, CA 92120 2010-08-20
1649557042 Laura Pauline Cunningham Registered Nurse 6153fairmount Ave, Suite 260, San Diego, CA 92120 2011-11-14
1508381799 Antin Sachs · Comfort Keepers In Home Supportive Care 4420 Rainier Avenue, Suite 202, San Diego, CA 92120 2017-08-08
1225593601 Truself Training, Inc Clinic/Center 5125 Waring Road, San Diego, CA 92120 2019-02-09
1942510698 Laurie Anne Reeves Physician Assistant - Medical 6367 Alvardo Ct., Suite #200, San Diego, CA 92120 2010-10-15
1861748154 Nicholas J. Bai Physician Assistant 4746 Zion Ave, San Diego, CA 92120 2012-07-24
Find all in zip 92120

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689259806 Nathaly Jacqueline Ruiz Counselor 6560 Montezuma Rd Apt 305, San Diego, CA 92115-2819 2021-03-10
1760081376 Annel Vianey Orduno Counselor 3517 Camino Del Rio South Suite 407, San Diego, CA 92108-4026 2020-10-23
1689280422 Jason Vince Rather Counselor 333 Ledgewood Lane, San Diego, San Diego, CA 92114 2020-09-17
1851903751 Shawn M Sta Ines Counselor 8775 Aero Dr Ste 230, San Diego, CA 92123-1779 2020-08-20
1821607599 Tara Oneil Counselor 2383 Jefferson St Unit 3, San Diego, CA 92110-3007 2020-07-28
1881212520 Ureclaim Therapy Counselor 6331 Nancy Ridge Dr # 209, San Diego, CA 92121-6204 2020-07-09
1407480726 Autumn Weidman Counselor 2930 Cowley Way Unit 303, San Diego, CA 92117-6859 2020-02-25
1073153714 Jennifer Lynn Martinez · Jenifer Lynn Martinez Counselor 3517 Camino Del Rio S Ste 407, San Diego, CA 92108-4028 2020-01-10
1881233708 Ramin Movafaghi Counselor 3737 Murphy Canyon Rd, San Diego, CA 92123-4454 2019-12-23
1316595739 Ashley Champa Counselor 7954 Dagget St, San Diego, CA 92111-2306 2019-08-28
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Competitor

Search similar providers

City SAN DIEGO
Zip Code 92120

Providers with similar names

NPI Name Taxonomy Address Enumeration
1114599149 Dulce Carrillo Specialist/Technologist - Speech-Language Assistant 27720 Jefferson Ave Ste 120, Temecula, CA 92590-2609 2021-07-09
1124609763 Cristina Carrillo Behavior Technician 8600 Sw 128th St, Miami, FL 33156 2021-04-15
1306437025 Evi Michelle Carrillo Counselor - Mental Health 15 Macdonough St Ste 3b, Brooklyn, NY 11216-2303 2021-01-27
1952975831 Caitlin Ann Carrillo Behavioral Analyst 23000 Highland Knolls Blvd, Katy, TX 77494-8341 2021-05-17
1275101719 Jarol Gil Carrillo Behavior Technician 11401 Sw 1st St, Miami, FL 33174-1031 2021-06-11
1144828740 Gabriella M Carrillo Licensed Practical Nurse 1712 E 13th St, Monahans, TX 79756-2129 2020-10-15
1124697636 Giselle Carrillo Behavior Technician 8701 Sw 12th St Apt 25, Miami, FL 33174-3316 2021-06-19
1316527369 Brenda L Havelka · Brenda L Whitt Registered Nurse - General Practice 190 Darlene Dr, Coraopolis, PA 15108-9300 2021-04-13
1487225405 Brenda Lee Fonder · Brenda Lee Kurth Registered Nurse 6410 Military Rd, Lena, WI 54139-9188 2021-07-09
1790309151 Brenda Ward · Brenda Heard Counselor - Mental Health 6253 Buckley Hall Rd, Cobbs Creek, VA 23035-2131 2020-06-02

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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.