Carlos Enrique Riollano Bayouth, PHD, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

005675 Issued in CT

Practice address

104 Wauwinet TRL
Guilford, CT 06437-1152

Phone

(787) 717-8466

NPI assigned

Dec 4, 2020

Sex

Male

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 CT

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, 2019

Medicare assignment

May accept Medicare assignment

Group practices

State of ConnecticutGroup PAC ID 8022915677, 267 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Healing Therapy Solution

  • Mental Health Counselor
  • Westport, CT
  • NPI 1033930169
  Medicare reassignment NPD Authorized official
• State of Connecticut

  • Psychiatric Hospital
  • Bridgeport, CT
  • NPI 1720013360
  Medicare reassignment Care Compare group NPD
• State of Connecticut

  • Skilled Nursing Facility
  • Rocky Hill, CT
  • NPI 1205951662
  NPD

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1841895976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WAUWINET TRL",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064371152",
            "telephone_number": "787-717-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 WAUWINET TRL",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064371152",
            "telephone_number": "787-717-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIOLLANO BAYOUTH",
        "first_name": "CARLOS",
        "middle_name": "ENRIQUE",
        "credential": "PHD, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-04",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "005675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra J. Remington, D.D.S.
• Allison Beth Resnick, DC
• Adriana Restrepo-Powers, LMFT
• Frank Richard Richo, DDS
• Barry J Richter, MD, PC
• Marco Alessandro Rizzo, M.D.
• Cheryl Lea Robaczynski, RD, CDN
• Sheila McGowan Robbins, LCSW
• Denise Lewis Roberts, LCSW
• Walter Roberts, PHD

• Professional Counselor in Guilford, CT
• Providers in Guilford, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.