Individual provider Active NPI

Karina Leon-Carrillo, LPC

  • Mental Health Counselor
  • Dallas, TX
National Provider Identifier
1083430250
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
9041 Garland Rd Unit 2062
Dallas, TX 75218-3919
Phone
(903) 402-5170
NPI assigned
Dec 3, 2024
Last updated
May 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

9041 Garland Rd Unit 2062
Dallas, TX 75218-3919

Mailing address

9041 Garland Rd Unit 2062
Dallas, TX 75218-3919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250708004325 TX Practitioner - Mental Health Counselor 8426562844 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tyler Family Circle of Care CurrentSince Apr 7, 2025 Accepting new patients
Tyler Family Circle of Care CurrentSince Jan 19, 2025 Accepting new patients
Goodside Health Medical, PLLC PastSince Apr 7, 2025 Accepting new patients

Locations

13172 State Highway 64 E
Tyler, TX 75707
Phone (903) 566-2311

214 E Houston St
Tyler, TX 75702
Phone (903) 593-1892

523 S Fannin Ave
Tyler, TX 75702

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1083430250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9041 GARLAND RD UNIT 2062",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752183919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9041 GARLAND RD UNIT 2062",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752183919",
            "telephone_number": "903-402-5170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEON-CARRILLO",
        "first_name": "KARINA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-03",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.