Cassandra Meza Carrillo, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCSW87238 Issued in CA

Practice address

155 N Lake Ave Ste 800
Pasadena, CA 91101-1857

Phone

(562) 457-0164

NPI assigned

Jul 19, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1902259484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1354 KINBRAE AVE",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917452613",
            "telephone_number": "626-475-9152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N LAKE AVE STE 800",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011857",
            "telephone_number": "562-457-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "CASSANDRA",
        "middle_name": "MEZA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-19",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCSW87238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Del Carmen Carrillo Banuelos
• Abigail Carrillo
• Adriana G. Carrillo, LCSW
• Athena Carrillo
• Beatriz A Carrillo
• Elvis Carrillo
• Jaime Kamaile Carrillo, FNP-BC
• Jasmin Araceli Carrillo
• Julian J. Carrillo, B.A.
• Vanessa Carrillo, LMFT

• Mental Health Counselor in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.