Individual provider Active NPI

Rosita Castillo

  • Addiction (Substance Use Disorder) Counselor
  • Ojo Encino, NM
National Provider Identifier
1689960577
Registry record updated Jun 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
006084 Issued in NM
Practice address
HC 79 Box 1510
Ojo Encino, NM 87013-9612
Phone
(505) 731-1505
Fax
(505) 731-1502
NPI assigned
Jun 20, 2011
Last updated
Jun 20, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 006084 NM Primary

Addresses

Primary practice location

HC 79 Box 1510
Ojo Encino, NM 87013-9612

Mailing address

HCR 79 Box 1510
Cuba, NM 87013
Phone (505) 731-1505

Other identifiers 1

IdentifierTypeStateIssuer
198284OtherNMMANAGER HEALTH SYSTEM

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
006084NMMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308528000000",
    "number": "1689960577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HCR 79 BOX 1510",
            "city": "CUBA",
            "state": "NM",
            "postal_code": "87013",
            "telephone_number": "505-731-1505",
            "fax_number": "505-731-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 79 BOX 1510",
            "city": "OJO ENCINO",
            "state": "NM",
            "postal_code": "870139612",
            "telephone_number": "505-731-1505",
            "fax_number": "505-731-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "ROSITA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2011-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "006084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGER HEALTH SYSTEM",
            "identifier": "198284",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ojo Encino, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; 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.