Active NPI
John A Castro, CSAC
- Counselor
- Wauwatosa, WI
National Provider Identifier
1073152435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 2110
- 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, 2020
- 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 |
|---|---|---|---|---|
| Counselor | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2110 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anewu LLC | Single Specialty | Current | Accepting new patients |
| Saqh,Inc | Single Specialty | Current | 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.