Individual provider Active NPI

John A Castro, CSAC

  • Counselor
  • Wauwatosa, WI
National Provider Identifier
1073152435
Registry record updated Jan 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
2110 Issued in WI
Practice address
2222 N Mayfair Rd Ste 200
Wauwatosa, WI 53226-2263
Phone
(414) 299-3872
Fax
(414) 455-1929
NPI assigned
Jan 3, 2020
Last updated
Jan 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X 2110 WI Primary

Addresses

Primary practice location

2222 N Mayfair Rd Ste 200
Wauwatosa, WI 53226-2263

Mailing address

PO Box 639
Thiensville, WI 53092-0639
Phone (414) 247-9005

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

LicenseStateTypeSpecialty
2110WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Anewu LLC Single Specialty CurrentSince Jan 12, 2020 Accepting new patients
Saqh,Inc Single Specialty CurrentSince Jan 12, 2020 Accepting new patients

Locations

2222 N Mayfair Rd
Ste 200
Wauwatosa, WI 53226
Phone (414) 299-3872

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578096000000",
    "number": "1073152435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639",
            "city": "THIENSVILLE",
            "state": "WI",
            "postal_code": "530920639",
            "telephone_number": "414-247-9005",
            "fax_number": "414-247-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 N MAYFAIR RD STE 200",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262263",
            "telephone_number": "414-299-3872",
            "fax_number": "414-455-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "JOHN",
        "middle_name": "A",
        "credential": "CSAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-03",
        "last_updated": "2020-01-04",
        "certification_date": "2020-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "WI",
            "license": "2110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2020; 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.