Connie Castro

Primary specialty

CounselorTaxonomy code 101Y00000X

License

37AC00558700 Issued in NJ

Practice address

1018 Broad St Ste 6
Bloomfield, NJ 07003-2884

Phone

(862) 930-5700

Fax

(973) 707-2283

NPI assigned

Mar 8, 2021

Last updated

Mar 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NJ

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Catholic Charities, Diocese of Metuchen

  • Marriage & Family Therapist
  • Perth Amboy, NJ
  • NPI 1932263456
  Medicare reassignment NPD
• Lifebulb LLC

  • Mental Health Counselor
  • Toms River, NJ
  • NPI 1699491464
  Medicare reassignment NPD
• Allwood Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clifton, NJ
  • NPI 1851066682
  NPD
• Catholic Charities Diocese of Metuchen

  • Community Health Clinic/Center
  • New Brunswick, NJ
  • NPI 1871782334
  NPD
• Catholic Charities, Diocese of Metuchen

  • Marriage & Family Therapist
  • Bridgewater, NJ
  • NPI 1124157367
  NPD
• Thrive Counseling LLC

  dba Thriveworks

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300
  NPD

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1184219487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 BROAD ST STE 6",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 BROAD ST STE 6",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032884",
            "telephone_number": "862-930-5700",
            "fax_number": "973-707-2283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "CONNIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37AC00558700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSOCIATE COUNSELOR",
            "identifier": "37AC00558700",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LAC",
            "identifier": "37AC00558700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vincent Giro Caruso, D.C.
• Philip T Casale
• Vincent Joseph Castellano, DMD
• Mario Castellanos, LPC
• Donald M Castellaro, D.C.
• Natalie M Catalan
• Catalino L. Delacruz , Jr., MD PA
• Louis John Celebre, MD
• Center for Family Support, New Jersey, Inc.
• Charles M Cummins OD PA (Visionworks Doctors of Optometry)

• Counselor in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.