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TINA-MARIE CARRILLO
NPI 1154919611
Counselor in Centralia, WA

Active since January 09, 2021
3510 STEELHAMMER DR, CENTRALIA, WA 98531(360) 623-8020(360) 623-1072 Get Directions Write a Review

NPPES record last updated: January 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 19, 2021, Jan 9, 2021 (2 updates tracked since 2021).

About Tina-marie Carrillo NPPES

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

TINA-MARIE CARRILLO (NPI 1154919611) is an individual counselor in Centralia, Washington, licensed in (CG61340293) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1154919611
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameTINA-MARIE CARRILLO
Location Address3510 STEELHAMMER DRCentralia, WA 98531-4551
Mailing Address3149 Hemlock StLongview, WA 98632-2761
Phone(360) 623-8020
Fax(360) 623-1072
Sole ProprietorNo
Enumeration DateJanuary 9, 2021
Last NPPES UpdateJanuary 23, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2024
✔ NPI 1154919611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed · CG61340293
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.
3510 STEELHAMMER DR, Centralia, WA 98531
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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.

NAOMI JEAN HAMILTON
Counselor (Mental Health)
3510 STEELHAMMER DR
CENTRALIA, WA 98531
Lewis County (360) 330-9044
DANIEL HILARIO ORTIZ AAC
Licensed Practical Nurse
3510 STEELHAMMER DR
CENTRALIA, WA 98531
Lewis County (360) 623-8020
JESSENIA CELIA-KATALINA GARCIA AAC
Counselor
3510 STEELHAMMER DR
CENTRALIA, WA 98531
Lewis County (360) 623-8020
GAGE EDWARD LAFFERTY
Counselor (Mental Health)
3510 STEELHAMMER DR
CENTRALIA, WA 98531
Lewis County (360) 999-7602
KRISTOPHER J HEAD LPN
Licensed Practical Nurse
3510 STEELHAMMER DR
CENTRALIA, WA 98531
Lewis County (360) 330-9044
ASHLEY MARIA ELENA ARMSTRONG
Counselor (Mental Health)
3510 STEELHAMMER DR
CENTRALIA, WA 98531
Lewis County (360) 205-8010
MS. JENNIFER JO JOHNSON
Peer Specialist
3510 STEELHAMMER DR
CENTRALIA, WA 98531
Lewis County (360) 623-8020
MCKENZI M MILLER
Counselor
3510 STEELHAMMER DR
CENTRALIA, WA 98531
Lewis County (360) 623-8020

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 Tina-marie Carrillo's NPI number?

The NPI number for Tina-marie Carrillo is 1154919611. It was assigned to this individual provider in the NPPES registry on January 9, 2021.

Where is Tina-marie Carrillo located?

Tina-marie Carrillo practices at 3510 Steelhammer Dr, Centralia, WA 98531. The listed phone number is (360) 623-8020.

What is Tina-marie Carrillo's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Tina-marie Carrillo was last updated on January 23, 2024. 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.