JAZZMINE SUE CARRILLO
NPI 1790546059
Counselor - Addiction (Substance Use Disorder) in Groton, CT

Q: What is Jazzmine Carrillo's NPI number?

The NPI number for Jazzmine Carrillo is 1790546059. It was assigned to this individual provider in the NPPES registry on January 23, 2024.

Q: What is Jazzmine Carrillo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jazzmine 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.

Active since January 23, 2024

85 CROUCH ST APT 15, GROTON, CT 06340(860) 514-5695 Get Directions Write a Review

NPPES record last updated: January 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jazzmine Sue Carrillo NPPES

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

JAZZMINE SUE CARRILLO (NPI 1790546059) is an individual addiction (substance use disorder) provider in Groton, Connecticut, licensed in Connecticut (1539) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1790546059

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameJAZZMINE SUE CARRILLO

Location Address85 CROUCH ST APT 15Groton, CT 06340-3759

Mailing Address85 Crouch St Apt 15Groton, CT 06340-3759 · (860) 514-5695

Phone(860) 514-5695

Sole ProprietorYes

Enumeration DateJanuary 23, 2024

NPPES CertifiedJanuary 23, 2024

✔ NPI 1790546059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in CT · 1539

Also ListedCounselorTaxonomy 101Y00000X · License 1539

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 1539 (CT)

85 CROUCH ST APT 15, Groton, CT 06340

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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 Jazzmine Carrillo's NPI number?

The NPI number for Jazzmine Carrillo is 1790546059. It was assigned to this individual provider in the NPPES registry on January 23, 2024.

Where is Jazzmine Carrillo located?

Jazzmine Carrillo practices at 85 Crouch St Apt 15, Groton, CT 06340. The listed phone number is (860) 514-5695.

What is Jazzmine Carrillo's specialty?

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

What insurance does Jazzmine Carrillo accept?

Health plans from Providence Health Plan list Jazzmine Carrillo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jazzmine 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.