Organization Active NPI

Recovery Is a Beach

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Camarillo, CA
National Provider Identifier
1013627041
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
RECOVERY IS A BEACH
Doing business as
Recovery is a Beach
Practice address
1317 Del Norte Rd Ste 200
Camarillo, CA 93010-8368
Phone
(805) 586-3472
Fax
(805) 477-5639
NPI assigned
Nov 30, 2022
Last updated
Jan 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Authorized official

Name
Kerry K Costello, LMFTNPI 1285385849
Title
Managing Member
Phone
(805) 415-2441

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

1317 Del Norte Rd Ste 200
Camarillo, CA 93010-8368

Mailing address

44 Duvali Dr
Ventura, CA 93003-2151
Phone (805) 586-3472

Other names 1

  • Recovery is a Beach Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260326000805 CA Part B Supplier - Clinic/Group Practice 6305321530 Receives reassigned benefits from 1 practitioner
Practice locations: Camarillo, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2288363Recovery Is a Beach, LLC1317 Del Norte Road Suite 200, Camarillo, CA 93010Certificate of waiverAug 23, 2027

National Provider Directory

National Provider Directory

Locations

1317 Del Norte Rd
Ste 200
Camarillo, CA 93010
Phone (805) 320-6259

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1669766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1013627041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 DUVALI DR",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032151",
            "telephone_number": "805-586-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 DEL NORTE RD STE 200",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930108368",
            "telephone_number": "805-586-3472",
            "fax_number": "805-477-5639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY IS A BEACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-30",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "COSTELLO",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "805-415-2441",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Recovery is a Beach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.