Active NPI
Adam Abel Castro, LPCC 9442
- Professional Counselor
- Banning, CA
National Provider Identifier
1043885510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 9442
- Practice address
- 300 S. Highland Springs Drive
Ste 6-C #158
Banning, CA 92220 - Phone
- (760) 994-7522
- NPI assigned
- May 26, 2021
- Last updated
- May 26, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 9442 | CA | Primary |
Addresses
Primary practice location
300 S. Highland Springs Drive
Ste 6-C #158
Banning, CA 92220
Mailing address
300 S. Highland Springs Drive
Ste 6-C #158
Banning, CA 92220
Phone (760) 994-7522
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9442 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621987200000",
"number": "1043885510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 S. HIGHLAND SPRINGS DRIVE",
"address_2": "STE 6-C #158",
"city": "BANNING",
"state": "CA",
"postal_code": "92220",
"telephone_number": "760-994-7522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 S. HIGHLAND SPRINGS DRIVE",
"address_2": "STE 6-C #158",
"city": "BANNING",
"state": "CA",
"postal_code": "92220",
"telephone_number": "760-994-7522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTRO",
"first_name": "ADAM",
"middle_name": "ABEL",
"name_prefix": "Mr.",
"credential": "LPCC 9442",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-26",
"last_updated": "2021-05-26",
"certification_date": "2021-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "9442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Banning, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.