Jacqueline Castillo, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178006890 Issued in IL

Practice address

89 Cedar Ave
Lake Villa, IL 60046-8411

Phone

(847) 265-7300

Fax

(847) 265-7301

NPI assigned

Sep 22, 2010

Last updated

Sep 22, 2010By the provider in NPPES

Sex

Female

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

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.

• Adlerian Wellness Center, LTD

  • Psychologist
  • Elgin, IL
  • NPI 1639743362
  NPD
• Birth to Three & Beyond Pediatric Therapies, LLC

  dba The Therapy Tree, LLC

  • Professional Counselor
  • Lake Villa, IL
  • NPI 1063955847
  NPD (past)
• The Therapy Tree D.B.a. Birth to Three & Beyond Pediatric Therapies

  • Speech-Language Pathologist
  • Lake Villa, IL
  • NPI 1710047964

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285113600000",
    "number": "1487962627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 764",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600460764",
            "telephone_number": "847-265-7300",
            "fax_number": "847-265-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 CEDAR AVE",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600468411",
            "telephone_number": "847-265-7300",
            "fax_number": "847-265-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "JACQUELINE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178006890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Elizabeth Busky, MS, RDN
• Rebecca Cain, OT
• Shenandoah Cardwell, MA, NCC, LCPC
• Amanda Carlson, MS, LPC, NCC
• Izreal Cary, CCC-SLP
• Patricia Cerenil
• Children's Speech Services, PLLC
• Citadel of Hope Home Health Care Inc.
• Holli Clauser, RBT-17-34670
• Mark J Clauser, RBT

• Mental Health Counselor in Lake Villa, IL
• Providers in Lake Villa, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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.