Active NPI
Cristal Francine Castillo
- Mental Health Counselor
- Big Bear Lake, CA
National Provider Identifier
1629499447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 41945 Big Bear Blvd.
Suite 222
Big Bear Lake, CA 92315 - Phone
- (909) 866-5070
- Fax
- (909) 878-3228
- NPI assigned
- Dec 20, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
41945 Big Bear Blvd.
Suite 222
Big Bear Lake, CA 92315
Mailing address
41945 Big Bear Blvd.
Suite 222
Big Bear Lake, CA 92315
Phone (909) 866-5070
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387497600000",
"number": "1629499447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41945 BIG BEAR BLVD.",
"address_2": "SUITE 222",
"city": "BIG BEAR LAKE",
"state": "CA",
"postal_code": "92315",
"telephone_number": "909-866-5070",
"fax_number": "909-878-3228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41945 BIG BEAR BLVD.",
"address_2": "SUITE 222",
"city": "BIG BEAR LAKE",
"state": "CA",
"postal_code": "92315",
"telephone_number": "909-866-5070",
"fax_number": "909-878-3228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLO",
"first_name": "CRISTAL",
"middle_name": "FRANCINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-20",
"last_updated": "2013-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Big Bear Lake, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.