Active NPI
Laura Castro
- Mental Health Counselor
- San Diego, CA
National Provider Identifier
1508468463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 10065 Old Grove Rd Ste 102
San Diego, CA 92131-1664 - Phone
- (619) 387-8386
- NPI assigned
- Nov 14, 2020
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
10065 Old Grove Rd Ste 102
San Diego, CA 92131-1664
Mailing address
3854 Pendiente CT Apt Y107
San Diego, CA 92124-3742
Phone (360) 434-4364
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 10, 2025 through Jun 10, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605312000000",
"number": "1508468463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3854 PENDIENTE CT APT Y107",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921243742",
"telephone_number": "360-434-4364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10065 OLD GROVE RD STE 102",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921311664",
"telephone_number": "619-387-8386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTRO",
"first_name": "LAURA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-14",
"last_updated": "2020-11-14",
"certification_date": "2020-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.