John Costa, LSW LADC I CADAC II

Primary specialty

CounselorTaxonomy code 101Y00000X

License

300569 Issued in MA

Practice address

795 Middle St
Fall River, MA 02721-1733

Phone

(150) 823-5010

Fax

(508) 235-5053

NPI assigned

Jun 11, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Lisa Garcia Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497959993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79354",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027470984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 MIDDLE ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027211733",
            "telephone_number": "150-823-5010",
            "fax_number": "508-235-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTA",
        "first_name": "JOHN",
        "credential": "LSW  LADC I CADAC II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MA",
            "license": "300569",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MA",
            "license": "2107",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "GARCIA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Claudia I Costa
• Edward John Costa, L.I.C.S.W.
• Eliane Costa, LMHC,MA
• Hayden J Costa, AGACNP
• Jesse Costa
• Katherine Costa
• Maya Costa
• Stephanie Ann Costa
• Kayla Lynn Costello, MS
• Crystal B. Cote- Campos, LMHC

• Counselor in Fall River, MA
• Providers in Fall River, MA by specialty
• Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.