MAYRA COLIN CARRILLO LPC
NPI 1801151121
Counselor - Professional in Boardman, OR
About Mayra Colin Carrillo Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAYRA COLIN CARRILLO LPC (NPI 1801151121) is an individual professional provider in Boardman, Oregon, licensed in Oregon (C7959) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mayra Colin Carrillo Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Mayra Carrillo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Heppner, OR 97836
- Reassigned Medicare billing, Oregon enrollment
- 49 clinicians in this Medicare group
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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mayra Carrillo's NPI number?
The NPI number for Mayra Carrillo is 1801151121. It was assigned to this individual provider in the NPPES registry on July 12, 2012.
Where is Mayra Carrillo located?
Mayra Carrillo practices at 104 S.W. Kinkade Rd., Boardman, OR 97818. The listed phone number is (541) 481-2911.
What is Mayra Carrillo's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Mayra Carrillo enrolled in Medicare?
Yes. Mayra Carrillo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Mayra Carrillo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mayra Carrillo reassigns Medicare benefits to Community Counseling Solutions (Heppner, OR). 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 Mayra Carrillo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mayra Carrillo accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Mayra 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 Mayra Carrillo was last updated on October 7, 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.
# Mayra Colin Carrillo, LPC · NPI 1801151121
Professional provider in Boardman, Oregon. Individual provider, active in the CMS NPPES registry since July 12, 2012.
## Identity
- **NPI:** 1801151121 (Entity type: Individual)
- **Enumerated:** July 12, 2012
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** C7959 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 104 S.W. KINKADE RD., Boardman, OR 97818
- **Phone:** (541) 481-2911 · **Fax:** (541) 481-2006
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Community Counseling Solutions (NPI 1578501771, Heppner, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** October 7, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1801151121) · Data from the CMS NPPES public registry.