Organization Active NPI

Castro & Lopez Behavioral Services, LLC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1790141372
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180006165 Issued in IL
Legal business name
CASTRO & LOPEZ BEHAVIORAL SERVICES, LLC
Practice address
2823 N Milwaukee Ave
Chicago, IL 60618-7403
Phone
(708) 772-1117
NPI assigned
Jan 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2016

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

Authorized official

Name
Mr. Raul Castro, LCPC
Title
Co-Owner
Phone
(708) 772-1117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 180006165 IL Primary

Addresses

Primary practice location

2823 N Milwaukee Ave
Chicago, IL 60618-7403

Mailing address

2823 N Milwaukee Ave
Chicago, IL 60618-7403
Phone (708) 772-1117

National Provider Directory

National Provider Directory

Locations

2823 N Milwaukee Ave
Chicago, IL 60618
Phone (708) 772-1117

NPI Registry JSON

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1790141372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606187403",
            "telephone_number": "708-772-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2823 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606187403",
            "telephone_number": "708-772-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTRO & LOPEZ BEHAVIORAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "708-772-1117",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180006165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.