Active NPI
Maira Carrillo, MS, LPC
- Professional Counselor
- Katy, TX
National Provider Identifier
1780453357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 82080
- Practice address
- 24822 Blane Dr
Katy, TX 77493-2713 - Phone
- (770) 292-8657
- NPI assigned
- Dec 25, 2023
- Last updated
- Jul 9, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 82080 | TX | Primary |
Addresses
Primary practice location
24822 Blane Dr
Katy, TX 77493-2713
Mailing address
24822 Blane Dr
Katy, TX 77493-2713
Other practice location 1
8300 Esters Blvd Ste 900
Irving, TX 75063-2233
Phone (415) 424-4266
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mys Counseling & Assessment PLLC | Professional | Current | Accepting new patients |
| Bilingual Psychological Associates PC | Past | Accepting new patients |
Locations
2717 Commercial Center Blvd
Ste E200
Katy, TX 77494
Phone (281) 865-5433
20351 Highway 6
Ste B
Manvel, TX 77578
Phone (281) 303-1198
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychologist
- Houston, TX
- NPI 1790937027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752019200000",
"number": "1780453357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24822 BLANE DR",
"city": "KATY",
"state": "TX",
"postal_code": "774932713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24822 BLANE DR",
"city": "KATY",
"state": "TX",
"postal_code": "774932713",
"telephone_number": "770-292-8657"
}
],
"practiceLocations": [
{
"address_1": "8300 Esters Blvd Ste 900",
"address_purpose": "LOCATION",
"city": "Irving",
"state": "TX",
"postal_code": "750632233",
"country_code": "US",
"telephone_number": "415-424-4266",
"fax_number": "415-520-6633",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARRILLO",
"first_name": "MAIRA",
"credential": "MS, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-25",
"last_updated": "2025-07-09",
"certification_date": "2025-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "82080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.