Alyssa Heavyn Castillo
Individual provider Active NPI Marriage & Family Therapist · Fowler, CA
NPI 1609500057 · NPPES record last updated Mar 13, 2026
Key facts
- NPI
- 1609500057
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- LMFT161826 (CA)
- Practice address
- 311 E Merced St
Fowler, CA 93625-2316 - Phone
- (559) 892-9452
- NPI assigned
- Jul 12, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT161826 | CA | MD | Marriage & Family Therapist |
| 14825 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prodigy Healthcare Non Profit | Current |
Accepting new patients | |
| Prodigy Healthcare Inc. | Addiction (Substance Use Disorder) | Past |
Accepting new patients |
Locations
311 E Merced St
Fowler, CA 93625
Phone (555) 892-9452
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT161826 | CA | Yes |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 14825 | CA |
Addresses
Primary practice location
311 E Merced St
Fowler, CA 93625-2316
Mailing address
311 E Merced St
Fowler, CA 93625-2316
Phone (559) 892-9452
Other providers in Fowler, CA
- Stacy Carbajal Mendoza
- Jennifer Carbajal-Mendoza
- Kimberly Herrera Carbajal
- Antinette Michelle Cardenas
- Christina Reyna Carrillo
- Juan Castillo Jr.
- Rachel Castro Orellana
- Yamilet Castro
- Milena Cavalcante
- Susana Cazares
All providers in Fowler, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.