Kelli Louise Castrillon, CMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

9424722-6009 Issued in UT

Practice address

3280 W 3500 S Ste E
West Valley City, UT 84119-2668

Phone

(801) 979-1351

Fax

(801) 904-2089

NPI assigned

Jul 1, 2015

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1730562273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 W 3500 S STE E",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841192668",
            "telephone_number": "801-979-1351",
            "fax_number": "801-904-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 W 3500 S STE E",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841192668",
            "telephone_number": "801-979-1351",
            "fax_number": "801-904-2089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5691 S Redwood Rd Unit 16",
            "address_purpose": "LOCATION",
            "city": "Taylorsville",
            "state": "UT",
            "postal_code": "841235485",
            "country_code": "US",
            "telephone_number": "801-265-3895",
            "fax_number": "801-263-1265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTRILLON",
        "first_name": "KELLI",
        "middle_name": "LOUISE",
        "credential": "CMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-01",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "9424722-6009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Anthony Carter, D.D.S., M.S.
• Heidi Lynne Carter
• Alexa Cascio
• Nolan Casey
• Rachel Naomi Castillo
• Ivannia Castro
• Kathryn Casull, MD
• Catholic Health Initiatives Colorado
• Catholic Health Initiatives Colorado (Orthopedics & Sports Medicine West Valley)
• Catholic Health Initiatives Colorado (CRWV Cardio W Valley)

• Mental Health Counselor in West Valley City, UT
• Providers in West Valley City, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; 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.