Individual provider Active NPI

Kimiko Castle, MA

  • Mental Health Counselor
  • Huntington Beach, CA
National Provider Identifier
1336769454
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
90382 Issued in CA
Practice address
1400 Pacific Coast Hwy Apt 207
Huntington Beach, CA 92648-4482
Phone
(714) 206-3878
NPI assigned
Apr 18, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 90382 CA Primary

Addresses

Primary practice location

1400 Pacific Coast Hwy Apt 207
Huntington Beach, CA 92648-4482

Mailing address

1400 Pacific Coast Hwy Apt 207
Huntington Beach, CA 92648-4482
Phone (714) 206-3878

Electronic endpoints 2

TypeEndpointUseAffiliation
SOAP URL Therapynotes
SOAP URL Therapynotes

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
90382CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1587168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1336769454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 PACIFIC COAST HWY APT 207",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926484482",
            "telephone_number": "714-206-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 PACIFIC COAST HWY APT 207",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926484482",
            "telephone_number": "714-206-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTLE",
        "first_name": "KIMIKO",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-18",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "90382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Therapynotes",
            "affiliation": "N",
            "address_1": "1400 Pacific Coast Hwy Apt 207",
            "city": "Huntington Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926484482",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Therapynotes",
            "affiliation": "N",
            "address_1": "1400 Pacific Coast Hwy Apt 207",
            "city": "Huntington Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926484482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.