Individual provider Active NPI

Andrea Carrillo Villegas

  • School Counselor
  • Santa Rosa, CA
National Provider Identifier
1215806625
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School CounselorTaxonomy code 101YS0200X
Practice address
950 Sebastopol Rd
Santa Rosa, CA 95407-6872
Phone
(707) 545-0100
NPI assigned
Nov 3, 2025
Last updated
Nov 3, 2025By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X Primary

Addresses

Primary practice location

950 Sebastopol Rd
Santa Rosa, CA 95407-6872

Mailing address

1691 Burbank Ave
Santa Rosa, CA 95407-5903
Phone (707) 545-0102

Other names 1

  • Andrea Carrillo Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1762128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1215806625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1691 BURBANK AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954075903",
            "telephone_number": "707-545-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 SEBASTOPOL RD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954076872",
            "telephone_number": "707-545-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO VILLEGAS",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-11-03",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "CARRILLO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.