Active NPI
Marisela Castillo, LCPC, LPC
- Mental Health Counselor
- Meridian, ID
National Provider Identifier
1821540246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 19790
- Practice address
- 4311 W Balance Rock Dr
Meridian, ID 83642-5411 - Phone
- (208) 703-1995
- NPI assigned
- Nov 2, 2016
- Last updated
- Mar 31, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC 6291 | ID | |
| Mental Health Counselor | 101YM0800X | 19790 | NC | Primary |
Addresses
Primary practice location
4311 W Balance Rock Dr
Meridian, ID 83642-5411
Mailing address
4311 W Balance Rock Dr
Meridian, ID 83642-5411
Phone (208) 703-1995
Other names 1
- Marisela Castillo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2261 Market St
San Francisco, CA 94114-1612
PO Box
Suite 2649
McCall, ID 83638-2649
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC 6291 | ID | MD | Counselor |
| 19790 | NC | MD | Mental Health Counselor |
Interoperability endpoints
- marisela.castillo.1@28563.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743379200000",
"number": "1821540246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4311 W BALANCE ROCK DR",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836425411",
"telephone_number": "208-703-1995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4311 W BALANCE ROCK DR",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836425411",
"telephone_number": "208-703-1995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLO",
"first_name": "MARISELA",
"credential": "LCPC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-02",
"last_updated": "2025-03-31",
"certification_date": "2025-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "ID",
"license": "LPC 6291",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "19790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARISELA",
"last_name": "CASTILLO",
"credential": "NUNEZ",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.