Individual provider Active NPI

Leticia Castillo, LMFT

  • Marriage & Family Therapist
  • Riverside, CA
National Provider Identifier
1225419492
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
120310 Issued in CA
Practice address
769 W Blaine St Ste B
Riverside, CA 92507-3970
Phone
(951) 358-4705
NPI assigned
Jun 14, 2015
Last updated
Jul 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X
Marriage & Family Therapist 106H00000X 120310 CA Primary

Addresses

Primary practice location

769 W Blaine St Ste B
Riverside, CA 92507-3970

Mailing address

3885 Davidson St
Corona, CA 92879-1822
Phone (951) 544-7455

Other practice location 1

3075 Myers St
Riverside, CA 92503-5525
Phone (951) 358-4840

Other practice location 2

31946 Mission Trl Ste B
Lake Elsinore, CA 92530-4539
Phone (951) 471-4315

Other practice location 3

771 W. Blaine Street
suite C
Riverside, CA 92507-3940
Phone (951) 358-4120

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

LicenseStateTypeSpecialty
120310CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside County Dept of Mental Health Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1434240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1225419492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3885 DAVIDSON ST",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791822",
            "telephone_number": "951-544-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "769 W BLAINE ST STE B",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925073970",
            "telephone_number": "951-358-4705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3075 Myers St",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925035525",
            "country_code": "US",
            "telephone_number": "951-358-4840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31946 Mission Trl Ste B",
            "address_purpose": "LOCATION",
            "city": "Lake Elsinore",
            "state": "CA",
            "postal_code": "925304539",
            "country_code": "US",
            "telephone_number": "951-471-4315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "771 W. Blaine Street",
            "address_2": "suite C",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925073940",
            "country_code": "US",
            "telephone_number": "951-358-4120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "LETICIA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-14",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "120310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.