Cheryl Kay Matascastillo, L.M.F.T.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1352 Issued in MN

Practice address

2277 Highway 36 W Ste 150
Roseville, MN 55113-3830

Phone

(507) 345-4769

Fax

(952) 435-6797

NPI assigned

Nov 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Marriage and Family Therapist

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Addictions and Stress Clinics LTDGroup PAC ID 3476790296, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Addictions and Stress Clinics LTD

  • Psychologist
  • Mankato, MN
  • NPI 1376820118
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1639243173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CIVIC CENTER PLZ STE 205",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560017718",
            "telephone_number": "507-345-4679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2277 HIGHWAY 36 W STE 150",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133830",
            "telephone_number": "507-345-4769",
            "fax_number": "952-435-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATASCASTILLO",
        "first_name": "CHERYL",
        "middle_name": "KAY",
        "credential": "L.M.F.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP60847",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "625K8LE",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "628128100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maple Psychiatry
• Michael Marcum, LADC
• Brian Scott Martell, M.D.
• Sharon Mason, M.A. L.P.
• Hassan Mohamed Fouad Masroujeh, DMD
• Mary Mateffy
• Melvy S Mathew
• Zachary Mattson, PA-C
• Scott Charles Mauch, M.D.
• Maxillofacial Imaging LLC

• Marriage & Family Therapist in Roseville, MN
• Providers in Roseville, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.