Carolina Casillas, PH.D., LPC-S, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

64353 Issued in TX

Practice address

1231 Agnes St
Corpus Christi, TX 78401-3272

Phone

(361) 929-6836

NPI assigned

Apr 1, 2014

Sex

Female

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

BMSC TX LLCGroup PAC ID 1052680949, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• BMSC TX LLC

  • Clinical Social Worker
  • Plainfield, IL
  • NPI 1215485198

  TX

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1760800296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7201 LANDS END DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144400",
            "telephone_number": "956-878-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 AGNES ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784013272",
            "telephone_number": "361-929-6836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7201 Lands End Dr",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784144400",
            "country_code": "US",
            "telephone_number": "956-878-5682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASILLAS",
        "first_name": "CAROLINA",
        "credential": "PH.D., LPC-S, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-01",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "64353",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "64353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Caruso, FNP
• Susana Korina Carvajal
• Jeannell Casanova, OTRL
• Sierra Casares
• Carmen Cecilia Casas, M. D.
• Cynthia Casillas
• Henry F Casillas
• Jack R Cass, CRNA
• Cassidy W Hinojosa MD PA
• Albert Michael Castaneda

• Professional Counselor in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.