Individual provider Active NPI

Laura Castorena, LPC

  • Professional Counselor
  • Eloy, AZ
National Provider Identifier
1609415702
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-18670 Issued in AZ
Practice address
107 E 4TH St
Eloy, AZ 85131-2506
Phone
(520) 466-7765
Fax
(520) 446-4475
NPI assigned
Jan 6, 2020
Last updated
Jan 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Specialties & licenses 1

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

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 1

TypeEndpointUseAffiliation
Direct Messaging Address LCastorena@pinalhispaniccouncil.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20240402002230 AZ Practitioner - Mental Health Counselor 5890133417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Easter Seals Blake FoundationGroup PAC ID 9335302710, 20 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-18670AZMDProfessional Counselor

Practice roles

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

Locations

1115 E Florence Blvd
Ste A
Casa Grande, AZ 85122
Phone (520) 260-5529

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

6303 N 7TH St
Phoenix, AZ 85014

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

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

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

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

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

7750 E Broadway Blvd
Ste A200
Tucson, AZ 85710

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

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, 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": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1609415702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86537",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857546537",
            "telephone_number": "520-721-1887",
            "fax_number": "520-721-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E 4TH ST",
            "city": "ELOY",
            "state": "AZ",
            "postal_code": "851312506",
            "telephone_number": "520-466-7765",
            "fax_number": "520-446-4475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTORENA",
        "first_name": "LAURA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-06",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-18670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "LCastorena@pinalhispaniccouncil.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "107 E 4th St",
            "city": "Eloy",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "851312506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eloy, AZ

Sources for this page

Verify at the official NPI Registry.