Raymond G Castillo, MA, LMFT, LCAS-A

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2408 Issued in NC

Practice address

11020 S Tryon St Ste 408
Charlotte, NC 28273-6662

Phone

(980) 236-1660

Fax

(828) 544-1201

NPI assigned

Jan 16, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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

• Raymond Castillo, PLLC

  dba Living Life Wellness Center

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1477221786

  Addiction (Substance Use Disorder)

  NPD Authorized official
• Amity Medical Group, Inc.

  • Federally Qualified Health Center (FQHC)
  • Charlotte, NC
  • NPI 1003301300
  NPD

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

{
    "created_epoch": "1610755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668816000000",
    "number": "1457940165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10835 GARDEN OAKS LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282734845",
            "telephone_number": "954-865-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11020 S TRYON ST STE 408",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282736662",
            "telephone_number": "980-236-1660",
            "fax_number": "828-544-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "RAYMOND",
        "middle_name": "G",
        "credential": "MA, LMFT, LCAS-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-16",
        "last_updated": "2022-11-19",
        "certification_date": "2022-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-27066",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "12302A",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "2408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucinda Ann Castellano, MD
• Candice Nadia Castellino, MD
• Melanie Jacqueline Castellon-Lazo
• Leslie Castillo Navia, FNP
• Miriam Arminda Castillo-Toher, MD
• Casting Down Strongholds Transitional Housing & Community Services
• Magdalena Castle
• Castleberry & Associates, Inc.
• Sarah Michelle Castoro, M.ED. CCC-SLP
• Marchella Castrenze

• Mental Health Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.