Carlos Porfirio Castillo, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

76613 Issued in TX

Practice address

1519 E Bustamante St Ste B
Laredo, TX 78041-5305

Phone

(956) 568-3009

Fax

(956) 568-3048

NPI assigned

Jan 31, 2019

Last updated

Jan 31, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Adult Health Clinic

  • Internal Medicine Physician
  • Laredo, TX
  • NPI 1225584113
  NPD (past)

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1649735911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 E BUSTAMANTE ST STE B",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780415305",
            "telephone_number": "956-568-3009",
            "fax_number": "956-568-3048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 E BUSTAMANTE ST STE B",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780415305",
            "telephone_number": "956-568-3009",
            "fax_number": "956-568-3048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "CARLOS",
        "middle_name": "PORFIRIO",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "76613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Mae Dela Cruz Castilleja, NP
• Gabriel Castilleja, NP
• Francisco Yael Castillo Avalos, MD
• Alyssa Marie Castillo
• Anaiz Castillo, CCC-SLP
• Cassidy Vadann Castillo
• Emma Castillo
• Evelyn Y. Castillo, SLPA
• Gilberto Javier Castillo, DDS
• Josephine Castillo

• Professional Counselor in Laredo, TX
• Providers in Laredo, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.