Active NPI 1033656376 Individual Practitioner Female Practitioner

Mylda Carrillo , MED, LPC

Counselor - Professional • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Mylda Carrillo, MED, LPC is a registered healthcare professional specializing in Counselor - Professional in Phoenix, AZ. Practice services are available at 11011 S 48TH ST STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11011 S 48th St Ste 101

Phoenix, AZ 850441787

Telephone 4803313606

Associated Practice Facility / Clinic

🏢 Center For Progressive Therapies Llc Facility NPI 1144786245

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Phoenix, AZ

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 12.8 Yrs

State Avg: 15.4 Yrs

Regional Practice Density

763 Specialists

Practicing in Phoenix, AZ (3051 Statewide)

Telehealth Adoption Rate

4.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-08-26

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License AZ LPC-11650

Definition to come...

Secondary Practice Locations

2850 N. 24th St.

Phoenix, AZ 85008

Phone: 6022000434

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Venessa Thompson , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1801809702

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Practice Location April 21, 2023

Registered at 11011 S 48TH ST STE 101, PHOENIX, AZ 850441787 (Tel: 4803313606)

✅

NPI Profile Active January 25, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location January 25, 2017

Registered at 2850 N. 24TH ST., PHOENIX, AZ 85008 (Tel: 6022000434)

📍

Updated Business Mailing Address January 25, 2017

Registered at 2850 N 24TH ST, PHOENIX, AZ 850081004 (Tel: 6022000434)

👤

Provider Name / Credentials Updated January 25, 2017

Recorded as MYLDA CARRILLO, M.ED, LPC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2017

Counselor (License #LPC-11650 in AZ)

🟢

Initial NPI Registration & Enumeration January 25, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1033656376

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 25, 2017

Last Update: April 21, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2850 N 24th St

Phoenix, AZ 850081004

Phone: 6022000434

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.