Individual provider Active NPI

Jennifer L Del Castillo, LPC, CRC

  • Mental Health Counselor
  • Snellville, GA
National Provider Identifier
1073855235
Registry record updated May 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC007365 Issued in GA
Practice address
4375 Scotland CT
Snellville, GA 30039-8454
Phone
(404) 548-8335
Fax
(770) 470-0530
NPI assigned
Mar 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC007365 GA Primary

Addresses

Primary practice location

4375 Scotland CT
Snellville, GA 30039-8454

Mailing address

4375 Scotland CT
Snellville, GA 30039-8454
Phone (404) 548-8335

Other names 1

  • Jennifer Lynn Del Castillo Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250409002538 GA Practitioner - Mental Health Counselor 8426572629 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Double Spirals LLC Mental Health CurrentSince Mar 28, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715385600000",
    "number": "1073855235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4375 SCOTLAND CT",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300398454",
            "telephone_number": "404-548-8335",
            "fax_number": "770-470-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4375 SCOTLAND CT",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300398454",
            "telephone_number": "404-548-8335",
            "fax_number": "770-470-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL CASTILLO",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "LPC, CRC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-26",
        "last_updated": "2024-05-11",
        "certification_date": "2024-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC007365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "DEL CASTILLO",
            "middle_name": "LYNN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Snellville, GA

Sources for this page

Verify at the official NPI Registry.