Individual provider Active NPI

Christopher Castro, LMFT

  • Mental Health Counselor
  • Rahway, NJ
National Provider Identifier
1114525045
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37FI00193000 Issued in NJ
Practice address
1600 Saint Georges Ave Ste 118
Rahway, NJ 07065-2713
Phone
(848) 236-5091
NPI assigned
Oct 13, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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 37FI00193000 NJ Primary

Addresses

Primary practice location

1600 Saint Georges Ave Ste 118
Rahway, NJ 07065-2713

Mailing address

81 Northfield Ave
West Orange, NJ 07052-5342
Phone (732) 693-6137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • 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
I20240307001375 NJ Practitioner - Marriage and Family Therapist 6002252574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grace Medical Group LLCGroup PAC ID 0446510895, 4 clinicians

Practice addresses (Care Compare)

1600 Saint Georges Ave
Suite 118
Rahway, NJ 07065-2713
Phone (732) 596-1088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37FI00193000NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Medical Group LLC CurrentSince Jan 27, 2024 Accepting new patients

Locations

1600 Saint Georges Ave
Ste 118
Rahway, NJ 07065
Phone (732) 596-1088

81 Northfield Ave
Ste 302
West Orange, NJ 07052
Phone (848) 236-5091

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": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1114525045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 NORTHFIELD AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525342",
            "telephone_number": "732-693-6137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SAINT GEORGES AVE STE 118",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070652713",
            "telephone_number": "848-236-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "CHRISTOPHER",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-13",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37FI00193000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rahway, NJ

Sources for this page

Verify at the official NPI Registry.