Active NPI
Nelson Gabriel Carrillo
- Counselor
- Bronx, NY
National Provider Identifier
1336062884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1024 Faile St Apt 2
Bronx, NY 10459-3742 - Phone
- (347) 608-8142
- NPI assigned
- Aug 3, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | |||
| Psychoanalyst | 102L00000X | |||
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1024 Faile St Apt 2
Bronx, NY 10459-3742
Mailing address
1024 Faile St Apt 2
Bronx, NY 10459-3742
Phone (347) 608-8142
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": "1785715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785715200000",
"number": "1336062884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1024 FAILE ST APT 2",
"city": "BRONX",
"state": "NY",
"postal_code": "104593742",
"telephone_number": "347-608-8142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1024 FAILE ST APT 2",
"city": "BRONX",
"state": "NY",
"postal_code": "104593742",
"telephone_number": "347-608-8142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRILLO",
"first_name": "NELSON",
"middle_name": "GABRIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-08-03",
"last_updated": "2026-08-03",
"certification_date": "2026-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.