Individual provider Active NPI

Esteban David Carrillo Henao

  • Counselor
  • Worcester, MA
National Provider Identifier
1851155584
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
120 Stafford St Ste 209
Worcester, MA 01603-1454
Phone
(508) 762-1331
NPI assigned
Feb 13, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

120 Stafford St Ste 209
Worcester, MA 01603-1454

Mailing address

72 School St
South Barre, MA 01074-7726
Phone (754) 226-6835

Other practice location 1

60 Miles Rd
Rutland, MA 01543-1423
Phone (754) 226-6835

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

NPI Registry JSON

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1851155584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 SCHOOL ST",
            "city": "SOUTH BARRE",
            "state": "MA",
            "postal_code": "010747726",
            "telephone_number": "754-226-6835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 STAFFORD ST STE 209",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016031454",
            "telephone_number": "508-762-1331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Miles Rd",
            "address_purpose": "LOCATION",
            "city": "Rutland",
            "state": "MA",
            "postal_code": "015431423",
            "country_code": "US",
            "telephone_number": "754-226-6835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRILLO HENAO",
        "first_name": "ESTEBAN",
        "middle_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-13",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; 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.