Enrique Carranza, M. A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

19-QMHPC-00686 Issued in OR

Practice address

1060 Webber St
The Dalles, OR 97058-3749

Phone

(541) 296-5452

Fax

(541) 296-5263

NPI assigned

Dec 12, 2016

Last updated

Nov 21, 2024By the provider in NPPES

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

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in OR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mid-Columbia Center for Living

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • The Dalles, OR
  • NPI 1699745794
  Medicare reassignment NPD
• Mid-Columbia Center for Living

  dba McCfl the Dalles Och

  • Community/Behavioral Health Agency
  • The Dalles, OR
  • NPI 1275954513
  NPD
• Mid-Columbia Center for Living

  dba McCfl Hood River Main Office

  • Community/Behavioral Health Agency
  • Hood River, OR
  • NPI 1831510155
  NPD (past)
• Institute for the Redesign of Learning

  dba Almansor Clinical Serivces

  • Marriage & Family Therapist
  • South Pasadena, CA
  • NPI 1124212295

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1481500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1992249841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 WEBBER ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583749",
            "telephone_number": "412-965-4525",
            "fax_number": "541-296-5263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 WEBBER ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583749",
            "telephone_number": "541-296-5452",
            "fax_number": "541-296-5263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Pasadena Ave",
            "address_purpose": "LOCATION",
            "city": "South Pasadena",
            "state": "CA",
            "postal_code": "910302919",
            "country_code": "US",
            "telephone_number": "323-344-5536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRANZA",
        "first_name": "ENRIQUE",
        "credential": "M. A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-12",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "IMF96134",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "19-QMHPC-00686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "7184",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "7667",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "7708",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "7368",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy K Cain, RDH
• Ashley Campbell
• Nicole M Campbell, CRNA
• Paul J Cardosi, M.D.
• William L Carney II
• Jeffrey Carrell
• Maria Y Carrera
• Arturo Carrillo Jr., PT, DPT
• Maria C Casas, LCSW
• Cascade Acupuncture Center, LLC

• Mental Health Counselor in The Dalles, OR
• Providers in The Dalles, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.