Active NPI
Stephanie Castillo
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1255713921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 134246
- Practice address
- 453 S. Indiana St.
Los Angeles, CA 90021 - Phone
- (323) 266-7725
- NPI assigned
- Jun 18, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 5741-R | CA | |
| Marriage & Family Therapist | 106H00000X | 134246 | CA | Primary |
Addresses
Primary practice location
453 S. Indiana St.
Los Angeles, CA 90021
Mailing address
1250 Vercoe PL
Monterey Park, CA 91755-4052
Phone (626) 688-2559
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 |
|---|---|---|---|
| 5741-R | CA | MD | Addiction (Substance Use Disorder) Counselor |
| 134246 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Social Model Recovery Systems, Inc. | Past | Accepting new patients | |
| Blue Oak Counseling Services, Inc. | Marriage & Family Therapist | 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.
-
- Marriage & Family Therapist
- Ontario, CA
- NPI 1073124285
-
- Substance Abuse Rehabilitation Facility
- Los Angeles, CA
- NPI 1124306386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670457600000",
"number": "1255713921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 VERCOE PL",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917554052",
"telephone_number": "626-688-2559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "453 S. INDIANA ST.",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90021",
"telephone_number": "323-266-7725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLO",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-18",
"last_updated": "2022-12-08",
"certification_date": "2022-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "5741-R",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "134246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.