Individual provider Active NPI

Laura I Castle, LPC CSAC

  • Addiction (Substance Use Disorder) Counselor
  • South Boston, VA
National Provider Identifier
1376507848
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
0710101847 Issued in VA
Practice address
504 Wilborn Ave
South Boston, VA 24592-3120
Phone
(434) 572-6935
Fax
(434) 572-4827
NPI assigned
Apr 13, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0701003404 VA
Addiction (Substance Use Disorder) Counselor 101YA0400X 0710101847 VA Primary

Addresses

Primary practice location

504 Wilborn Ave
South Boston, VA 24592-3120

Mailing address

504 Wilborn Ave
South Boston, VA 24592-3120
Phone (434) 572-6935

Other identifiers 3

IdentifierTypeStateIssuer
O81786OtherVASENTERA MENTAL HEALTH
269693OtherVAANTHEM MENTAL HEALTH
289142OtherVAANTHEM MENTAL HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241109000106 VA Practitioner - Mental Health Counselor 1355875683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Halifax Regional Hospital IncGroup PAC ID 4587572805, 27 clinicians

Practice addresses (Care Compare)

504 Wilborn Ave
South Boston, VA 24592-3120
Phone (434) 517-3651

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0710101847VAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Halifax Regional Hospital, Inc CurrentSince Jul 23, 2024 Accepting new patients
Halifax Regional Hospital, Inc. CurrentSince Jul 23, 2024 Accepting new patients

Locations

2204 Wilborn Ave
South Boston, VA 24592
Phone (434) 517-3100

504 Wilborn Ave
South Boston, VA 24592
Phone (434) 517-3400

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1376507848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 WILBORN AVE",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245923120",
            "telephone_number": "434-572-6935",
            "fax_number": "434-572-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 WILBORN AVE",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245923120",
            "telephone_number": "434-572-6935",
            "fax_number": "434-572-4827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTLE",
        "first_name": "LAURA",
        "middle_name": "I",
        "name_prefix": "Mrs.",
        "credential": "LPC CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0701003404",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710101847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTERA MENTAL HEALTH",
            "identifier": "O81786",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM MENTAL HEALTH",
            "identifier": "269693",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM MENTAL HEALTH",
            "identifier": "289142",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Boston, VA

Sources for this page

Verify at the official NPI Registry.