Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JUSTIN CARRILLO
NPI 1669396396
Counselor - Professional in Elk Grove, CA

Q: What is Justin Carrillo's NPI number?

The NPI number for Justin Carrillo is 1669396396. It was assigned to this individual provider in the NPPES registry on August 6, 2026.

Q: What is Justin Carrillo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Justin Carrillo was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.

Active since August 06, 2026

10300 EVANGALINE WAY, ELK GROVE, CA 95757(916) 956-0612 Get Directions Write a Review

NPPES record added: August 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Justin Carrillo NPPES

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

JUSTIN CARRILLO (NPI 1669396396) is an individual professional provider in Elk Grove, California, licensed in California (LPCC23261) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1669396396

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameJUSTIN CARRILLO

Location Address10300 EVANGALINE WAYElk Grove, CA 95757-5045

Mailing Address10300 Evangaline WayElk Grove, CA 95757-5045

Phone(916) 956-0612

Sole ProprietorYes

Enumeration DateAugust 6, 2026

NPPES CertifiedAugust 6, 2026

✔ NPI 1669396396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in CA · LPCC23261

10300 EVANGALINE WAY, Elk Grove, CA 95757

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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 Justin Carrillo's NPI number?

The NPI number for Justin Carrillo is 1669396396. It was assigned to this individual provider in the NPPES registry on August 6, 2026.

Where is Justin Carrillo located?

Justin Carrillo practices at 10300 Evangaline Way, Elk Grove, CA 95757. The listed phone number is (916) 956-0612.

What is Justin Carrillo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Justin Carrillo was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.