Laura Castorena, LPC

Individual provider Active NPI Professional Counselor · Eloy, AZ

NPI 1609415702 · NPPES record last updated Jan 6, 2020

Key facts

NPI
1609415702
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
LPC-18670 (AZ)
Practice address
107 E 4TH St
Eloy, AZ 85131-2506
Phone
(520) 466-7765
Fax
(520) 446-4475
NPI assigned
Jan 6, 2020
Sex
Female
Sole proprietor
Yes

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Easter Seals Blake Foundation (20 clinicians)

Practice addresses (Care Compare)

900 E Florence Blvd
Suite a
Casa Grande, AZ 85122-4673
Phone (520) 723-4429

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240402002230 AZ Practitioner - Mental Health Counselor 5890133417 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
LPC-18670AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Easter Seals Blake Foundation Current
since Jan 30, 2024
Accepting new patients
Easter Seals Blake Foundation Current
since Jan 30, 2024
Accepting new patients
Easter Seals Blake Foundation Current Accepting new patients
Easter Seals Blake Foundation Past
since Feb 25, 2024
Accepting new patients
Easter Seals Blake Foundation Past Accepting new patients

Locations

900 E Florence Blvd
Ste A
Casa Grande, AZ 85122
Phone (520) 723-4429

1115 E Florence Blvd
Ste A
Casa Grande, AZ 85122
Phone (520) 723-4429

6306 N 7th St
Phoenix, AZ 85014
Phone (602) 279-5801

6303 N 7TH St
Phoenix, AZ 85014

55 S 5th St
Sierra Vista, AZ 85635
Phone (520) 452-9784

55 S 5th St
Ste A200
Sierra Vista, AZ 85635

709 N Allred Ln
Ste 104105
Thatcher, AZ 85552

7750 E Broadway Blvd
Ste A100
Tucson, AZ 85710
Phone (520) 310-5425

7750 E Broadway Blvd
Ste A200
Tucson, AZ 85710

4653 E Pima St
Tucson, AZ 85712
Phone (520) 326-6182

310 S Meyer Ave
Tucson, AZ 85701
Phone (520) 209-2492

7756 E Broadway Blvd
Ste C100
Tucson, AZ 85710
Phone 52032715297108

3860 W 24th St
Ste 201
Yuma, AZ 85364

3860 W 24th St
Ste 201214
Yuma, AZ 85364
Phone (928) 276-9225

Interoperability endpoints

  • Direct secure messaging: lcastorena@pinalhispaniccouncil.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-18670 AZ Yes

Addresses

Primary practice location

107 E 4TH St
Eloy, AZ 85131-2506

Mailing address

PO Box 86537
Tucson, AZ 85754-6537
Phone (520) 721-1887

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address LCastorena@pinalhispaniccouncil.org

Other providers in Eloy, AZ

All providers in Eloy, AZ · Professional Counselor in Arizona

Sources for this page

Verify at the official NPI Registry.