Active NPI
Katelyn Mary Costello, LCSW
- School Counselor
- Fair Lawn, NJ
National Provider Identifier
1245710433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 44SC05799500
- Practice address
- 17-07 Romaine St
Fair Lawn, NJ 07410-2150 - Phone
- (201) 797-2660
- NPI assigned
- Aug 16, 2018
- 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 |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 44SC05799500 | NJ | Primary |
Addresses
Primary practice location
17-07 Romaine St
Fair Lawn, NJ 07410-2150
Mailing address
18A Personette St
Caldwell, NJ 07006-5113
Phone (973) 919-8100
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05799500 | NJ | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534377600000",
"number": "1245710433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18A PERSONETTE ST",
"city": "CALDWELL",
"state": "NJ",
"postal_code": "070065113",
"telephone_number": "973-919-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17-07 ROMAINE ST",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074102150",
"telephone_number": "201-797-2660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTELLO",
"first_name": "KATELYN",
"middle_name": "MARY",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-16",
"last_updated": "2018-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "NJ",
"license": "44SC05799500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fair Lawn, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.