ERICKA GONZALEZ CARRILLO M.A. NPI 1710366976

NPI Information

NPI: 1710366976
Provider Name: ERICKA GONZALEZ CARRILLO, M.A.
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

PECOS Registration: Yes

Address:
1985 MAIN ST STE E
SPRINGFIELD, MA
ZIP 01103
Phone: (413) 361-4587
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Ericka Gonzalez Carrillo, M.A. is an addiction (substance use disorder) counselor in Springfield, MA with 19 years of experience. 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
1	101YM0800X	Counselor	Mental Health			No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	18240	MASSACHUSETTS	Yes

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: 4/28/2024

NPI Synchronization or Removal

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