Luke Ignacio Carrillo, MHR, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6651 Issued in OK

Practice address

421 E Thomas Ave
Stillwater, OK 74075-2600

Phone

(405) 372-2202

Fax

(405) 445-3780

NPI assigned

Jul 27, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523232000000",
    "number": "1134475197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 E THOMAS AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740752600",
            "telephone_number": "405-372-2202",
            "fax_number": "405-445-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 E THOMAS AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740752600",
            "telephone_number": "405-372-2202",
            "fax_number": "405-445-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "LUKE",
        "middle_name": "IGNACIO",
        "credential": "MHR, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-27",
        "last_updated": "2018-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "6651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen E Blatnick
• Victoria R Carney-Peters
• Alexandra S Carpenter Alain
• Kristi Dee Carpenter, M.S.
• Rachel Helene Carpenter, MD
• Adam Taft Carroll
• Amber Mikale Carter
• Laney Ann Carter
• Melissa Carter, M.S.
• William Kenneth Carter

• Mental Health Counselor in Stillwater, OK
• Providers in Stillwater, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.