Individual provider Active NPI

Tiffany L Castleman, LPC, EDD

  • Mental Health Counselor
  • Clearwater, FL
National Provider Identifier
1568911030
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH19187 Issued in FL
Practice address
501 S Lincoln Ave Ste 24
Clearwater, FL 33756-5964
Phone
(727) 382-3452
NPI assigned
Sep 26, 2016
Last updated
Jun 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2564 KS
Mental Health Counselor 101YM0800X 2011017577 MO
Mental Health Counselor 101YM0800X C6322 OR
Mental Health Counselor 101YM0800X MH19187 FL Primary

Addresses

Primary practice location

501 S Lincoln Ave Ste 24
Clearwater, FL 33756-5964

Mailing address

39650 US Highway 19 N Apt 1012
Tarpon Springs, FL 34689-3952
Phone (816) 799-8236

Other practice location 1

4906 NW Barry Rd
Kansas City, MO 64154-1405
Phone (816) 799-8236

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20260603001369 FL Practitioner - Mental Health Counselor 7113498981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11300 US 19
Windmore Healthcare of Clearwater
Clearwater, FL 33764-7451

367 S Gulph Rd
King of Prussia, PA 19406-3121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH19187FLMDMental Health Counselor
2564KSMDMental Health Counselor
2011017577MOMDMental Health Counselor
C6322ORMDMental Health Counselor

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, 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": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1568911030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39650 US HIGHWAY 19 N APT 1012",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346893952",
            "telephone_number": "816-799-8236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S LINCOLN AVE STE 24",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337565964",
            "telephone_number": "727-382-3452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4906 NW Barry Rd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641541405",
            "country_code": "US",
            "telephone_number": "816-799-8236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTLEMAN",
        "first_name": "TIFFANY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "LPC, EDD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-26",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "2564",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2011017577",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C6322",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH19187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.