Kelley Castler, LPCA
Individual provider Active NPI Professional Counselor · Woodbury, CT
NPI 1487359113 · NPPES record last updated Apr 3, 2023
Key facts
- NPI
- 1487359113
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 5774 (CT)
- Practice address
- 670 Main St S
Woodbury, CT 06798-3738 - Phone
- (203) 263-3175
- NPI assigned
- Apr 3, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inner Oasis Psychotherapy | Professional | Past |
Accepting new patients |
| A Wave of Change | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5774 | CT | Yes |
Addresses
Primary practice location
670 Main St S
Woodbury, CT 06798-3738
Mailing address
5 Sheraton Dr
Wolcott, CT 06716-2324
Phone (203) 558-1268
Other providers in Woodbury, CT
- Kenneth L Burke
- Bwell LLC
- C Young Consulting LLC
- Shirley Jane Campbell
- Olivia Carty
- Judith Mangan Charles
- Michael Stephen Chase
- Amanda Chrostowski
- Rio Comaduran
- Compass Behavioral Health LLC
All providers in Woodbury, CT · Professional Counselor in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.