Active NPI
Guadalupe Castro
- Counselor
- Everett, WA
National Provider Identifier
1497300859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- CG61214670
- Practice address
- 1920 100TH St SE Ste A2
Everett, WA 98208-3832 - Phone
- (425) 312-0277
- NPI assigned
- Aug 2, 2019
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | CG61214670 | WA | Primary |
Addresses
Primary practice location
1920 100TH St SE Ste A2
Everett, WA 98208-3832
Mailing address
4110 12TH Ave NE Apt 202
Seattle, WA 98105-6359
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 |
|---|---|---|---|
| CG61214670 | WA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sea Mar Community Health Centers | Counselor | Past | Accepting new patients |
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.
-
- Federally Qualified Health Center (FQHC)
- Everett, WA
- NPI 1285783480
Counselor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631664000000",
"number": "1497300859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4110 12TH AVE NE APT 202",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981056359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 100TH ST SE STE A2",
"city": "EVERETT",
"state": "WA",
"postal_code": "982083832",
"telephone_number": "425-312-0277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTRO",
"first_name": "GUADALUPE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-02",
"last_updated": "2021-09-15",
"certification_date": "2021-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "CG61214670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.