Individual provider Active NPI

Leah Castetter

  • Addiction (Substance Use Disorder) Counselor
  • Rockville, IN
National Provider Identifier
1407572829
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
C2-5007 Issued in IN
Practice address
604 Indiana St
Rockville, IN 47872-1417
Phone
(765) 592-0588
NPI assigned
Oct 17, 2022
Sex
Female
Sole proprietor
No

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

LicenseStateTypeSpecialty
C2-5007INMDAddiction (Substance Use Disorder) Counselor

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X C2-5007 IN Primary

Addresses

NPPES NPI Registry

Primary practice location

604 Indiana St
Rockville, IN 47872-1417

Mailing address

604 Indiana St
Rockville, IN 47872-1417
Phone (765) 592-0588

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 17, 2022.

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1407572829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 INDIANA ST",
            "city": "ROCKVILLE",
            "state": "IN",
            "postal_code": "478721417",
            "telephone_number": "765-592-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 INDIANA ST",
            "city": "ROCKVILLE",
            "state": "IN",
            "postal_code": "478721417",
            "telephone_number": "765-592-0588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTETTER",
        "first_name": "LEAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "C2-5007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.