Janny Martinez Carrillo
Individual provider Active NPI Mental Health Counselor · Wichita, KS
NPI 1508728593 · NPPES record last updated Nov 27, 2025
Key facts
- NPI
- 1508728593
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 05101-T (KS)
- Practice address
- 555 N Woodlawn St Ste 3105
Wichita, KS 67208-3673 - Phone
- (316) 685-1821
- NPI assigned
- Nov 27, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05101-T | KS | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 05101-T | KS | Yes |
Addresses
Primary practice location
555 N Woodlawn St Ste 3105
Wichita, KS 67208-3673
Mailing address
630 S Trig St
Wichita, KS 67207-2512
Other providers in Wichita, KS
- Spencer Martin
- Susan D Martin
- Tamara L Martin
- Toby Martin
- Lexie Martindale-Murray
- Melissa Martinez Huckleby
- Maria Elaine Martinez-Rosales
- Aidan Jesus Martinez
- Angela S. Martinez
- Anita V Martinez
All providers in Wichita, KS · Mental Health Counselor in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.