Individual provider Active NPI

Lauren Castillo

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1497303218
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2829 Issued in NE
Practice address
11404 W Dodge Rd Ste 300
Omaha, NE 68154-9603
Phone
(402) 898-1113
NPI assigned
Aug 27, 2019
Last updated
Feb 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 11931 NE
Mental Health Counselor 101YM0800X 2829 NE Primary

Addresses

Primary practice location

11404 W Dodge Rd Ste 300
Omaha, NE 68154-9603

Mailing address

11718 S 113TH Ave
Papillion, NE 68046-5585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240708000312 NE Practitioner - Mental Health Counselor 3173067725 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11931NEMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Akridge and Akridge Chiropractic West, LLC CurrentSince Jun 1, 2024 Accepting new patients
Akridge & Akridge Chiropractic, LLC Mental Health Past Accepting new patients

Locations

3811 Twin Creek Dr
Ste 102
Bellevue, NE 68123
Phone (402) 884-4774

1529 S 203rd St
Ste 103
Omaha, NE 68130
Phone (402) 884-4774

Interoperability endpoints

  • Direct secure messaging: lauren.castillo.1@31566.direct.athenahealth.com
  • Direct secure messaging: lauren.christensen.p1@direct.charlesdrew.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1497303218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11718 S 113TH AVE",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680465585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11404 W DODGE RD STE 300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681549603",
            "telephone_number": "402-898-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NE",
            "license": "11931",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.