Heather Costello, CPSS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

MPSS-KEFXHO Issued in CA

Practice address

5485 Pire Ave
San Diego, CA 92122-4125

Phone

(858) 220-3231

NPI assigned

Oct 31, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1306669130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5485 PIRE AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921224125",
            "telephone_number": "858-220-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5485 PIRE AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921224125",
            "telephone_number": "858-220-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTELLO",
        "first_name": "HEATHER",
        "credential": "CPSS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-KEFXHO",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stirling Thomas Costello-Strong
• Brandon Michael Costello, D.O.
• Caitlin Costello, M.D.
• Cara Michelle Costello
• Christine Costello
• James W. Costello, M.D.
• Mark Adrian Costello, PT
• Patricia Costello
• Patricia Jewell Costello, BS
• Diane Kathleen Costigan, C.A.T.C

• Peer Specialist in San Diego, CA
• Providers in San Diego, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.