Jennifer Chavarro Castillo, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH 12557 Issued in FL

Practice address

510 Vonderburg Dr
Suite 301
Brandon, FL 33511-5954

Phone

(813) 881-1000

Fax

(813) 881-0003

NPI assigned

Feb 10, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Phoenix Programs of Florida, Inc.

  • Community/Behavioral Health Agency
  • Brandon, FL
  • NPI 1962542423
  NPD (past)

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1053735241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 VONDERBURG DR.",
            "address_2": "SUITE 301",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116072",
            "telephone_number": "813-881-1000",
            "fax_number": "813-881-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 VONDERBURG DR",
            "address_2": "SUITE 301",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115954",
            "telephone_number": "813-881-1000",
            "fax_number": "813-881-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVARRO CASTILLO",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-10",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 12557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13798116",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Lawrence Allen, Inc.
• Jonathan Charles, MD
• Joseph Charles
• Julia Kinsley Chase
• Chasing Behavior Modification Corp
• Keyur Anilkumar Chavda, M.D.
• Maximus Chavez
• Shelby Chavez
• Janice Anne Cheatwood, D.C.
• Cheer Counseling Inc

• Mental Health Counselor in Brandon, FL
• Providers in Brandon, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.