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ANGIE CARRILLO
NPI 1346520723
Marriage & Family Therapist in Anaheim, CA

Active since August 17, 2011PECOS Enrolled
1188 N EUCLID ST STE 500, ANAHEIM, CA 92801(715) 640-6480 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 12, 2024, Feb 9, 2022 (2 updates tracked since 2022).

About Angie Carrillo NPPES

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

ANGIE CARRILLO (NPI 1346520723) is an individual marriage & family therapist in Anaheim, California, licensed in California (82037) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346520723
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameANGIE CARRILLO
Location Address1188 N EUCLID ST STE 500Anaheim, CA 92801-1900
Mailing Address13210 Harbor BlvdGarden Grove, CA 92843-1737
Phone(715) 640-6480
Sole ProprietorNo
Enumeration DateAugust 17, 2011
Last NPPES UpdateNovember 12, 20242 updates tracked since enumeration
NPPES CertifiedNovember 12, 2024
✔ NPI 1346520723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 82037
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1188 N EUCLID ST STE 500, Anaheim, CA 92801
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angie Carrillo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Angie Carrillo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
2.1 mi
Health Maintenance Organization
1893 W MALVERN AVE
Fullerton, CA 92833
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1336556059 (877) 608-0044

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

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

MAYRA NOEMY TORRES MFT
Marriage & Family Therapist
1188 N EUCLID ST STE 500
ANAHEIM, CA 92801
Orange County (714) 644-6188
LINDA LYNES LMFT
Marriage & Family Therapist
1188 N EUCLID ST STE 500
ANAHEIM, CA 92801
Orange County (714) 644-6480
MRS. DIANA IVORY LMFT
Marriage & Family Therapist
1188 N EUCLID ST STE 500
ANAHEIM, CA 92801
Orange County (714) 644-6480
DR. TYLER E STRATTON M.D.
Psychiatry & Neurology (Psychiatry)
1188 N EUCLID ST STE 500
ANAHEIM, CA 92801
Orange County (714) 644-6480
MISS VIVIAN T. MA M.S.
Marriage & Family Therapist
1188 N EUCLID ST STE 500
ANAHEIM, CA 92801
Orange County (714) 644-6480

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 Angie Carrillo's NPI number?

The NPI number for Angie Carrillo is 1346520723. It was assigned to this individual provider in the NPPES registry on August 17, 2011.

Where is Angie Carrillo located?

Angie Carrillo practices at 1188 N Euclid St Ste 500, Anaheim, CA 92801. The listed phone number is (715) 640-6480.

What is Angie Carrillo's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Angie Carrillo enrolled in Medicare?

Yes. Angie Carrillo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Angie Carrillo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angie Carrillo reassigns Medicare benefits to Southern California Permanente Medical Group (Fullerton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Angie Carrillo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Angie Carrillo was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.