Active NPI
Jennifer Castro
- Pastoral Counselor
- Kissimmee, FL
National Provider Identifier
1407221831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- License
- N210000012966
- Practice address
- 1901 Bases Blvd Apt 107
Kissimmee, FL 34741-6517 - Phone
- (407) 362-8765
- NPI assigned
- Dec 10, 2015
- Last updated
- Jul 25, 2025
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 103TR0400X | FL | |
| Pastoral Counselor | 101YP1600X | N210000012966 | FL | Primary |
| Rehabilitation Psychologist | 103TR0400X | 103TR0400X | FL | |
| Case Manager/Care Coordinator | 171M00000X | 103TR0400X | FL |
Addresses
Primary practice location
1901 Bases Blvd Apt 107
Kissimmee, FL 34741-6517
Mailing address
1901 Bases Blvd Apt 107
Kissimmee, FL 34741-6517
Phone (407) 362-8765
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 |
|---|---|---|---|
| N210000012966 | FL | MD | Pastoral Counselor |
| 103TR0400X | FL | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753401600000",
"number": "1407221831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 BASES BLVD APT 107",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347416517",
"telephone_number": "407-362-8765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 BASES BLVD APT 107",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347416517",
"telephone_number": "407-362-8765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTRO",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-10",
"last_updated": "2025-07-25",
"certification_date": "2025-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "103TR0400X",
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "FL",
"license": "N210000012966",
"primary": true
},
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "FL",
"license": "103TR0400X",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "FL",
"license": "103TR0400X",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.