Yara Castillo, LPC

Individual provider Active NPI Professional Counselor · Houston, TX

NPI 1124665989 · NPPES record last updated May 15, 2025

Key facts

NPI
1124665989
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
78667 (TX)
Practice address
21175 State Highway 249 # 167
Houston, TX 77070-1655
Phone
(346) 439-8632
NPI assigned
Nov 28, 2019
Sex
Female
Sole proprietor
Yes

Organizations & group practices 3

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in TX, CA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240301001768 TX Practitioner - Mental Health Counselor 3971948878 Reassigns benefits to 1 organization
I20240613003917 CA Practitioner - Mental Health Counselor 3971948878 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
78667TXMDProfessional Counselor
11550CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Authentic Heart Counseling PLLC Mental Health Current
since Dec 1, 2019
Accepting new patients

Locations

21175 Tomball Pkwy
Houston, TX 77070
Phone (281) 251-5544

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 78667 TX
Professional Counselor 101YP2500X 78667 TX Yes

Addresses

Primary practice location

21175 State Highway 249 # 167
Houston, TX 77070-1655

Mailing address

21175 State Highway 249 # 167
Houston, TX 77070-1655
Phone (346) 439-8632

Other practice location 1

4372 N Loop 1604 W Ste 106
San Antonio, TX 78249-1200
Phone (888) 588-8995

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 15, 2025.

{
    "created_epoch": "1574899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1124665989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21175 STATE HIGHWAY 249 # 167",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770701655",
            "telephone_number": "346-439-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21175 STATE HIGHWAY 249 # 167",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770701655",
            "telephone_number": "346-439-8632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4372 N Loop 1604 W Ste 106",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782491200",
            "country_code": "US",
            "telephone_number": "888-588-8995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "YARA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-28",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "78667",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "78667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

All providers in Houston, TX · Professional Counselor in Texas

Sources for this page

Verify at the official NPI Registry.