Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1801151121 Individual Practitioner Female Practitioner

Mayra Colin Carrillo , LPC

Counselor - Professional • Boardman, OR

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Mayra Carrillo, LPC is a certified Counselor - Professional practicing in Boardman, OR. With approximately 8 years of clinical experience since completing medical education in 2018, Mayra Carrillo delivers high-quality medical care to the local community at 104 S.W. KINKADE RD..

Mayra Carrillo is affiliated with Community Counseling Solutions and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

104 S.w. Kinkade Rd.

Boardman, OR 97818

Telephone 5414812911
Fax 5414812006
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Boardman, OR

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -10.0 yrs vs City Avg
City Avg: 18.0 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
6 Specialists

Practicing in Boardman, OR (2601 Statewide)

Telehealth Adoption Rate
16.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Carrillo (8 Years) 8 Yrs
Boardman Specialty Average (18.0 Years) 18.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-10-07
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OR C7959

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Definition to come...

Hospital & Practice Group Affiliations

Community Counseling Solutions

104 Sw Kinkade Rd, Boardman, OR 978189001

Phone: 5414812911

Practice Associates & Co-Workers

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

29 Associated Practitioners
Zaira Sanchez

Counselor - Mental Health

NPI 1083179527
Jordan Connell , QMHA

Counselor - Mental Health

NPI 1083328918
Joshua Tarvin , PEER

Counselor - Mental Health

NPI 1134877376
Cydney Morgan , MA, QMHP

Counselor - Mental Health

NPI 1144660168

Master of Arts, Qualified Mental Health Professional

Craig Nelson

Counselor - Mental Health

NPI 1164031423
Katherine Adams

Counselor - Mental Health

NPI 1164094298

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Business Mailing Address October 07, 2024

Registered at PO BOX 469, HEPPNER, OR 978360469 (Tel: 5416769161)

👤
Provider Name / Credentials Updated October 07, 2024

Recorded as MAYRA CARRILLO, LPC

NPI Profile Active July 12, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location July 12, 2012

Registered at 104 S.W. KINKADE RD., BOARDMAN, OR 97818 (Tel: 5414812911)

📍
Updated Business Mailing Address July 12, 2012

Registered at 70032 OLIVE LN., BOARDMAN, OR 97818 (Tel: 5417202860)

👤
Provider Name / Credentials Updated July 12, 2012

Recorded as MAYRA CARRILLO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2012

Counselor

🟢
Initial NPI Registration & Enumeration July 12, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801151121
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2012
Last Update: October 07, 2024
Sole Proprietor: No

Mailing Address

Po Box 469

Heppner, OR 978360469

Phone: 5416769161

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.