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DEADRA D. CARRILLO M.A. LPC
NPI 1023154085
Counselor - Mental Health in Bloomfield, NM

Active since January 29, 2007
333 ROAD 4990, BLOOMFIELD, NM 87413(505) 632-6713 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Deadra D. Carrillo M.a. Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEADRA D. CARRILLO M.A. LPC (NPI 1023154085) is an individual mental health provider in Bloomfield, New Mexico, licensed in New Mexico (0510) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1023154085
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDEADRA D. CARRILLOCredential: M.A. LPC
Location Address333 ROAD 4990Bloomfield, NM 87413-9626
Mailing Address333 Road 4990Bloomfield, NM 87413-9626 · (505) 632-6713
Phone(505) 632-6713
Sole ProprietorYes
Enumeration DateJanuary 29, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1023154085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NM · 0510
333 ROAD 4990, Bloomfield, NM 87413
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deadra Carrillo's NPI number?

The NPI number for Deadra Carrillo is 1023154085. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Where is Deadra Carrillo located?

Deadra Carrillo practices at 333 Road 4990, Bloomfield, NM 87413. The listed phone number is (505) 632-6713.

What is Deadra Carrillo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Deadra Carrillo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.