Casille Pearl Kristol

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LAC-18350 Issued in AZ

Practice address

18205 N 51St Ave Ste 131
Glendale, AZ 85308-1492

Phone

(602) 499-5329

NPI assigned

Aug 3, 2021

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

Practice roles

Locations

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.

• Dana Therapeutic Services

  • Mental Health Counselor
  • Glendale, AZ
  • NPI 1083114458
  NPD

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1376217372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4708 E LONE CACTUS DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850506160",
            "telephone_number": "602-909-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18205 N 51ST AVE STE 131",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081492",
            "telephone_number": "602-499-5329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISTOL",
        "first_name": "CASILLE",
        "middle_name": "PEARL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-18350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krishna Medical PLLC
• Andrea Soltis Kristalovich, AU.D.
• Kristina N Wilson DMD PLLC
• Kristina N Wilson DMD PLLC
• Kristine Goto, PH.D., PLLC
• Lorraine Diane Kritkausky, R.N.
• Monica Krogh
• Janna Lynn Kroleski, D.P.M.
• Madison Kromke, PT, DPT
• Ann Kronebusch, RD

• Mental Health Counselor in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.