Katherine Castillo, LSAA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CSA0208821 Issued in NM

Practice address

1107 S Atkinson Ave
Roswell, NM 88203-7154

Phone

(575) 578-4826

Fax

(575) 578-4828

NPI assigned

Mar 16, 2020

Last updated

Mar 16, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Recovery Services of New Mexico, LLC

  dba MedMark Treatment Centers Roswell

  • Methadone Clinic
  • Roswell, NM
  • NPI 1194104141
  NPD (past)
• Recovery Services of New Mexico, LLC

  dba MedMark Treatment Centers Isleta

  • Addiction Medicine (Family Medicine) Physician
  • Albuquerque, NM
  • NPI 1861848632

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1467088013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 S ATKINSON AVE",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882037154",
            "telephone_number": "575-578-4826",
            "fax_number": "575-578-4828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 S ATKINSON AVE",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882037154",
            "telephone_number": "575-578-4826",
            "fax_number": "575-578-4828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "KATHERINE",
        "credential": "LSAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-16",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "CSA0208821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CSA0208821",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Trent Carter, APRN, FNP, CARN-AP
• Casa Maria Healthcare LLC
• Casa Maria of New Mexico LLC (Casa Maria Health Care Center and Pecos Valley Rehabilitation Suites)
• Case Anesthesia, PC (DBA Gerard Desjardins, CRNA)
• Kyra Rhea Anne Cash
• Castle Orthopedics, P.C.
• James John Castle, DO
• Ashley Castro Aguilar
• Alicia L Castro, LMSW
• Craig B Cathey, D.C.

• Addiction (Substance Use Disorder) Counselor in Roswell, NM
• Providers in Roswell, NM by specialty
• Addiction (Substance Use Disorder) Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; 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.