Michael Costello, M.S., LAC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

ACD.0000462 Issued in CO

Practice address

114 N 12TH St
Grand Junction, CO 81501-3534

Phone

(970) 549-9050

NPI assigned

Oct 14, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1507939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507939200000",
    "number": "1487165791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 RODELL DR",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815071744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N 12TH ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815013534",
            "telephone_number": "970-549-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTELLO",
        "first_name": "MICHAEL",
        "credential": "M.S., LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-14",
        "last_updated": "2017-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "ACD.0000462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiberiu Doru Corduban, M.D.
• Beverly Kay Cormier, MSW
• Sarah Cortez, M.D.
• Cosby Endodontics (Grand Valley Endodontics)
• Erin Caitlin Coscia
• Natasha Cote, LCSW
• Stephen W Cotlar, MD
• Caitlyn Ann Marie Cottrell, A.T.C
• Nicole Kirsten Cotts
• Loren J Couch, MA NCC

• Counselor in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2017; 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.