Active NPI
Claire Castellano, LPC
- Professional Counselor
- Ponte Vedra Beach, FL
National Provider Identifier
1508155748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PRC 142
- Practice address
- 6014 Bridge Water Cir
Ponte Vedra Beach, FL 32082-3004 - Phone
- (904) 280-1059
- NPI assigned
- Mar 28, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PRC 142 | DC | Primary |
Addresses
Primary practice location
6014 Bridge Water Cir
Ponte Vedra Beach, FL 32082-3004
Mailing address
6014 Bridge Water Cir
Ponte Vedra Beach, FL 32082-3004
Phone (904) 280-1059
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 |
|---|---|---|---|
| PRC 142 | DC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301270400000",
"number": "1508155748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6014 BRIDGE WATER CIR",
"city": "PONTE VEDRA BEACH",
"state": "FL",
"postal_code": "320823004",
"telephone_number": "904-280-1059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6014 BRIDGE WATER CIR",
"city": "PONTE VEDRA BEACH",
"state": "FL",
"postal_code": "320823004",
"telephone_number": "904-280-1059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTELLANO",
"first_name": "CLAIRE",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-28",
"last_updated": "2011-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "DC",
"license": "PRC 142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponte Vedra Beach, FL
- Jeanette Carlsen
- Mackenzie Carr
- Levan Angella Carter, APRN11039417
- Michael Edward Carver, H.A.S.
- Shirley Casillas
- Clayton Christopher Celander, DMD
- Stephanie Michelle Ceparano
- Adam I. Chaifetz, D.C.
- Charles Perniciaro MD PA (Neptune Beach Dermatology)
- Charles V Perniciaro, M.D., P.C., D/B/a Brunswick Dermatology Clinic (Brunswick Dermatology Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.