Active NPI
Dylan James Kastner, TLMHC
- Mental Health Counselor
- Grinnell, IA
National Provider Identifier
1477300655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 120695
- Practice address
- 807 4TH Ave
Grinnell, IA 50112-2042 - Phone
- (641) 510-1381
- NPI assigned
- May 4, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 | 120695 | IA | Primary |
Addresses
Primary practice location
807 4TH Ave
Grinnell, IA 50112-2042
Mailing address
807 4TH Ave
Grinnell, IA 50112-2042
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 |
|---|---|---|---|
| 120695 | IA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714780800000",
"number": "1477300655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "807 4TH AVE",
"city": "GRINNELL",
"state": "IA",
"postal_code": "501122042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 4TH AVE",
"city": "GRINNELL",
"state": "IA",
"postal_code": "501122042",
"telephone_number": "641-510-1381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASTNER",
"first_name": "DYLAN",
"middle_name": "JAMES",
"credential": "TLMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-05-04",
"last_updated": "2024-05-04",
"certification_date": "2024-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "120695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grinnell, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.