Marisa Lisette Castro, APC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

APC008514 Issued in GA

Practice address

3520 Piedmont Rd NE Ste 330
Atlanta, GA 30305-1552

Phone

(404) 351-2008

NPI assigned

Jun 1, 2022

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

Electronic endpoints 1

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": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1750020442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 PIEDMONT RD NE STE 330",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051552",
            "telephone_number": "404-351-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 PIEDMONT RD NE STE 330",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051552",
            "telephone_number": "404-351-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "MARISA",
        "middle_name": "LISETTE",
        "credential": "APC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC008514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.pchprofessionals.com/",
            "affiliation": "N",
            "address_1": "3520 Piedmont Rd NE Ste 330",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303051552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carlos Vidal Castro
• Elias Castro, MD
• Jessica Castro
• Kenneth G Castro, M.D.
• Leeann Castro
• Alicia V Casucci, APRN/CPNP
• Connor Catalani, CAA
• Mallory Catall
• Catalyst Physical Therapy
• Catalyst Therapeutic Services, LLC

• Mental Health Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.