Active NPI
Pamela Marie Castellanos, LPC, LPCC
- Counselor
- Chandler, AZ
National Provider Identifier
1417377367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC-16214
- Practice address
- 3200 N Dobson Rd
BLDG. C
Chandler, AZ 85224 - Phone
- (480) 447-6474
- NPI assigned
- Apr 18, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | E.1200196 | OH | |
| Counselor | 101Y00000X | LPC-16214 | AZ | Primary |
Addresses
Primary practice location
3200 N Dobson Rd
BLDG. C
Chandler, AZ 85224
Mailing address
3200 N Dobson Rd
BLDG. C
Chandler, AZ 85224-9601
Phone (480) 447-6474
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 |
|---|---|---|---|
| LPC-16214 | AZ | MD | Counselor |
| E.1200196 | OH | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527638400000",
"number": "1417377367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 N DOBSON RD",
"address_2": "BLDG. C",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852249601",
"telephone_number": "480-447-6474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 N DOBSON RD",
"address_2": "BLDG. C",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "85224",
"telephone_number": "480-447-6474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTELLANOS",
"first_name": "PAMELA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LPC, LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-18",
"last_updated": "2018-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "E.1200196",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AZ",
"license": "LPC-16214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.