Individual provider Active NPI

Paul Castillo, LPC

  • Professional Counselor
  • Little Rock, AR
National Provider Identifier
1811916547
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P0102011 Issued in AR
Practice address
1719 Merrill Dr
Little Rock, AR 72212-4009
Phone
(501) 663-2199
NPI assigned
Jul 19, 2006
Last updated
Aug 25, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X P0102011 AR Primary

Addresses

Primary practice location

1719 Merrill Dr
Little Rock, AR 72212-4009

Mailing address

2809 Forest Home Rd
Jonesboro, AR 72401-5320
Phone (866) 972-1268

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231205000702 AR Practitioner - Mental Health Counselor 9638527492 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Counseling Associates IncGroup PAC ID 3173583564, 33 clinicians
Spa City Counseling and Wellness Inc.Group PAC ID 0749771715, 9 clinicians

Practice addresses (Care Compare)

110 Skyline Dr
Russellville, AR 72801-3362
Phone (479) 967-5570

135 Sawtooth Oak St
Hot Springs, AR 71901-7160
Phone (501) 781-3122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P0102011ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Associates, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Spa City Counseling and Wellness Inc CurrentSince Dec 6, 2025 Accepting new patients
Counseling Associates Inc Current Accepting new patients
Counseling Associates, Inc CurrentSince Jan 1, 2024 Accepting new patients
Life Strategies Counseling, Inc. PastSince Dec 16, 2020 Accepting new patients
Conway Counseling & Psychological Services, PLLC Professional PastSince Dec 6, 2025 Accepting new patients

Locations

135 Sawtooth Oak St
Hot Springs National Park, AR 71901
Phone (501) 781-3122

110 Skyline Dr
Russellville, AR 72801
Phone 4799675570223

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1811916547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 FOREST HOME RD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015320",
            "telephone_number": "866-972-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 MERRILL DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722124009",
            "telephone_number": "501-663-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P0102011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.