Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mayra Colin Carrillo, LPC

Individual provider Mental Health Counselor · NPI 1801151121

Mayra Colin Carrillo, LPC is a Mental Health Counselor in Boardman, Oregon. Qualified in 2018, 8 years ago. Practices with Community Counseling Solutions, a 29-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
8
Licensed in
OR
In the registry since
2012
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

104 S.w Kinkade Rd
Boardman, OR 97818
Phone: (541) 481-2911
Fax: (541) 481-2006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence C7959 (OR)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1801151121
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedJuly 12, 2012
Last updated in NPPESOctober 7, 2024
Certification dateOctober 7, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Community Counseling Solutions — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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