Individual provider Active NPI

Rebecca A Castille, LPC

  • Professional Counselor
  • Austin, TX
National Provider Identifier
1619486768
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
75369 Issued in TX
Practice address
11615 Angus Rd Ste 104P
Austin, TX 78759-4006
Phone
(512) 783-8247
NPI assigned
Sep 20, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2021

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 75369 TX Primary

Addresses

Primary practice location

11615 Angus Rd Ste 104P
Austin, TX 78759-4006

Mailing address

113 Four Star Dr
Elgin, TX 78621-2518
Phone (512) 783-8247

Other practice location 1

113 Four Star Dr
Elgin, TX 78621-2518
Phone (512) 783-8247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
75369TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Branches Pastoral Care and Counseling CurrentSince Sep 1, 2019 Accepting new patients

Locations

12343 Hymeadow Dr
Ste 2I
Austin, TX 78750

11615 Angus Rd
Ste 104P
Austin, TX 78759
Phone (512) 783-8247

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1619486768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 FOUR STAR DR",
            "city": "ELGIN",
            "state": "TX",
            "postal_code": "786212518",
            "telephone_number": "512-783-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11615 ANGUS RD STE 104P",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594006",
            "telephone_number": "512-783-8247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "113 Four Star Dr",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "TX",
            "postal_code": "786212518",
            "country_code": "US",
            "telephone_number": "512-783-8247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTILLE",
        "first_name": "REBECCA",
        "middle_name": "A",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-20",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "75369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.