ERICKA GONZALEZ CARRILLO M.A. NPI 1710366976

NPI Information

  • NPI: 1710366976
  • Provider Name: ERICKA GONZALEZ CARRILLO, M.A.
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1985 MAIN ST STE E
    SPRINGFIELD, MA
    ZIP 01103
  • Phone: (413) 361-4587

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NPI Details

Ericka Gonzalez Carrillo, M.A. is an addiction (substance use disorder) counselor in Springfield, MA. Ericka Gonzalez Carrillo, M.A. NPI is 1710366976. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1985 MAIN ST STE E
SPRINGFIELD, MA
ZIP 01103-016
Phone: (413) 361-4587
Fax: (413) 788-0626

The NPI 1710366976 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/21/2015 and was last updated on 9/25/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
2101YA0400XCounselorAddiction (Substance Use Disorder)18240MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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