Individual provider Active NPI

Alejandro Lazaro Castillo, MS

  • Mental Health Counselor
  • Miami, FL
National Provider Identifier
1114164092
Registry record updated Feb 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH8360 Issued in FL
Practice address
671 NE 195TH St
# 419
Miami, FL 33179-3340
Phone
(786) 344-7621
NPI assigned
Jan 14, 2009
Last updated
Feb 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ADC-010848-2015 FL
Mental Health Counselor 101YM0800X MH8360 FL Primary
Marriage & Family Therapist 106H00000X MT2349 FL

Addresses

Primary practice location

671 NE 195TH St
# 419
Miami, FL 33179-3340

Mailing address

671 NE 195TH St
# 419
Miami, FL 33179-3340
Phone (305) 308-2867

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
ADC-010848-2015FLMDAddiction (Substance Use Disorder) Counselor
MH8360FLMDMental Health Counselor
MT2349FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Care Treatment Services LLC Current Accepting new patients
True Life Family Counseling Current Accepting new patients

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": "1231891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644624000000",
    "number": "1114164092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 NE 195TH ST",
            "address_2": "# 419",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331793340",
            "telephone_number": "305-308-2867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 NE 195TH ST",
            "address_2": "# 419",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331793340",
            "telephone_number": "786-344-7621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "ALEJANDRO",
        "middle_name": "LAZARO",
        "name_prefix": "Mr.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-14",
        "last_updated": "2022-02-12",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "ADC-010848-2015",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH8360",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT2349",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2022; 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.