Active NPI
Anikka Ducharme Castle, LPC
- Professional Counselor
- Phoenix, AZ
National Provider Identifier
1205479367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 18410
- Practice address
- 2505 W Beryl Ave
Phoenix, AZ 85021-1641 - Phone
- (602) 808-2800
- NPI assigned
- Oct 22, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 18410 | AZ | Primary |
Addresses
Primary practice location
2505 W Beryl Ave
Phoenix, AZ 85021-1641
Mailing address
17166 W Fetlock TRL
Surprise, AZ 85387-1169
Phone (602) 808-2800
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | acastle@lifewell.us | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18410 | AZ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifewell Behavioral Wellness | Past | Accepting new patients | |
| Oakwood Creative Care Inc. | Past | 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 and National Provider Directory roles.
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- Mesa, AZ
- NPI 1720330194
-
- Adult Day Care Clinic/Center
- Mesa, AZ
- NPI 1114388626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571702400000",
"number": "1205479367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17166 W FETLOCK TRL",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853871169",
"telephone_number": "602-808-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2505 W BERYL AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850211641",
"telephone_number": "602-808-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTLE",
"first_name": "ANIKKA",
"middle_name": "DUCHARME",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-22",
"last_updated": "2019-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "18410",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "acastle@lifewell.us",
"affiliation": "N",
"endpointDescription": "Work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2505 W Beryl Ave",
"city": "Phoenix",
"state": "AZ",
"country_code": "US",
"postal_code": "850211641",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.