Active NPI
Carolina Isabel Castedo, LCPC
- Mental Health Counselor
- Fairfax, VA
National Provider Identifier
1477164622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 3025 Hamaker CT Ste 450
Fairfax, VA 22031-2237 - Phone
- (703) 204-9100
- Fax
- (301) 468-1862
- NPI assigned
- Aug 12, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
3025 Hamaker CT Ste 450
Fairfax, VA 22031-2237
Mailing address
200 Wood Hill Rd
Rockville, MD 20850-8724
Phone (301) 610-8306
Other practice location 1
200 Wood Hill Rd
Rockville, MD 20850-8724
Phone (240) 800-5772
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
200 Wood Hill Rd
Rockville, MD 20850-8724
Phone 30183842002616
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699315200000",
"number": "1477164622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 WOOD HILL RD",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208508724",
"telephone_number": "301-610-8306",
"fax_number": "301-468-1862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3025 HAMAKER CT STE 450",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220312237",
"telephone_number": "703-204-9100",
"fax_number": "301-468-1862"
}
],
"practiceLocations": [
{
"address_1": "200 Wood Hill Rd",
"address_purpose": "LOCATION",
"city": "Rockville",
"state": "MD",
"postal_code": "208508724",
"country_code": "US",
"telephone_number": "240-800-5772",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASTEDO",
"first_name": "CAROLINA",
"middle_name": "ISABEL",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-12",
"last_updated": "2023-11-07",
"certification_date": "2023-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.