Louis E Costello, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

J1950 Issued in TX

Practice address

190 Civic Cir Ste 250
Lewisville, TX 75067-3648

Phone

(972) 436-8591

Fax

(972) 221-6609

NPI assigned

Sep 15, 2006

Last updated

Sep 28, 2009By the provider in NPPES

Sex

Male

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 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Costello Clinic, P.aGroup PAC ID 7315446168, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Costello Clinic, P.a.

  • Adult Mental Health Clinic/Center
  • Lewisville, TX
  • NPI 1619073228
  Medicare reassignment Care Compare group NPD Authorized official
• Agape Mind Services

  dba Center for Health and Healing at Highland Village

  • Adult Mental Health Clinic/Center
  • Highland Village, TX
  • NPI 1679704787
  NPD (past) Authorized official

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254096000000",
    "number": "1184720799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3119 OVERLOOK CIR",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750771840",
            "telephone_number": "972-221-7006",
            "fax_number": "972-353-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 CIVIC CIR STE 250",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673648",
            "telephone_number": "972-436-8591",
            "fax_number": "972-221-6609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTELLO",
        "first_name": "LOUIS",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2009-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "J1950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113825702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis James Costa, M.D.
• Costco Wholesale Corporation (Costco Optical #683)
• Costco Wholesale Corporation (Costco Hearing Aid #683)
• Costco Wholesale Corporation (Costco Pharmacy #683)
• Costello Clinic, P.a.
• Rodney Cottingham
• Hannah Danielle Counter, LPC
• Caitlin Coyner, LCSW
• William H Craig, RN
• Jason Todd Cravens, LMFT - ASSOCIATE

• Psychiatry Physician in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.