KIRSTEN NICOLE CARRILLO SUD
NPI 1134718919
Counselor - Addiction (Substance Use Disorder) in Woodland, CA

Active since January 15, 2021
215 W BEAMER ST, WOODLAND, CA 95695(530) 405-2815 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 15, 2023, Jan 10, 2023, Sep 27, 2021 and 3 more (6 updates tracked since 2021).

About Kirsten Nicole Carrillo Sud NPPES

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

KIRSTEN NICOLE CARRILLO SUD (NPI 1134718919) is an individual addiction (substance use disorder) provider in Woodland, California, licensed in California (AII050060623) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1134718919
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKIRSTEN NICOLE CARRILLOCredential: SUD
Location Address215 W BEAMER STWoodland, CA 95695-2510
Mailing Address215 W Beamer StWoodland, CA 95695-2510 · (530) 405-2815
Sole ProprietorYes
Enumeration DateJanuary 15, 2021
Last NPPES UpdateAugust 15, 20236 updates tracked since enumeration
NPPES CertifiedAugust 15, 2023
NPI 1134718919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Licenses Licensed in CA · AII050060623 Licensed in CA · 12064
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
215 W BEAMER ST, Woodland, CA 95695

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
215 W BEAMER ST
WOODLAND, CA 95695
Social Worker
215 W BEAMER ST
WOODLAND, CA 95695
Counselor (Addiction (Substance Use Disorder))
215 W BEAMER ST
WOODLAND, CA 95695
Counselor (Addiction (Substance Use Disorder))
215 W BEAMER ST
WOODLAND, CA 95695
Counselor (Addiction (Substance Use Disorder))
215 W BEAMER ST
WOODLAND, CA 95695
Student in an Organized Health Care Education/Training Program
215 W BEAMER ST
WOODLAND, CA 95695
Case Manager/Care Coordinator
215 W BEAMER ST
WOODLAND, CA 95695
Physician Assistant
215 W BEAMER ST
WOODLAND, CA 95695

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 Kirsten Carrillo's NPI number?

The NPI number for Kirsten Carrillo is 1134718919. It was assigned to this individual provider in the NPPES registry on January 15, 2021.

Where is Kirsten Carrillo located?

Kirsten Carrillo practices at 215 W Beamer St, Woodland, CA 95695. The listed phone number is (530) 405-2815.

What is Kirsten Carrillo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kirsten Carrillo was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.