Individual provider Active NPI

Heather Ellen Carrillo, LPC

  • Mental Health Counselor
  • West Lake Hills, TX
National Provider Identifier
1689329013
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
87435 Issued in TX
Practice address
205 Wild Basin Rd Ste 2B
West Lake Hills, TX 78746-3304
Phone
(512) 402-2230
NPI assigned
Feb 14, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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

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

State licenses

LicenseStateTypeSpecialty
87435TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ziba Rezaee MD PLLC PastSince Feb 1, 2022 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 87435 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

205 Wild Basin Rd Ste 2B
West Lake Hills, TX 78746-3304

Mailing address

11733 Red Oak Valley LN
Austin, TX 78732-2406
Phone (720) 371-4268

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 18, 2025.

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1689329013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11733 RED OAK VALLEY LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787322406",
            "telephone_number": "720-371-4268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WILD BASIN RD STE 2B",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787463304",
            "telephone_number": "512-402-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "HEATHER",
        "middle_name": "ELLEN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-14",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "87435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.