Individual provider Active NPI

Crystal Sharlene White-Castleman

  • Marriage & Family Therapist
  • Elk Grove, CA
National Provider Identifier
1821673179
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT130750 Issued in CA
Practice address
River Oak Center for Children
9412 Big Horn Blvd, Suite 6
Elk Grove, CA 95758
Phone
(916) 609-5155
Fax
(916) 609-5161
NPI assigned
Mar 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 251S0000X CA
Mental Health Counselor 101YM0800X APCC11010 CA
Professional Counselor 101YP2500X APCC11010 CA
Marriage & Family Therapist 106H00000X AMFT130750 CA Primary

Addresses

Primary practice location

River Oak Center for Children
9412 Big Horn Blvd, Suite 6
Elk Grove, CA 95758

Mailing address

PO Box 292966
Sacramento, CA 95829-2966
Phone (916) 841-4751

Other names 1

  • Mrs. Crystal Sharlene White-Castleman Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
251S0000XCAMDAddiction (Substance Use Disorder) Counselor
APCC11010CAMDMental Health Counselor
AMFT130750CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1821673179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 292966",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958292966",
            "telephone_number": "916-841-4751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RIVER OAK CENTER FOR CHILDREN",
            "address_2": "9412 BIG HORN BLVD, SUITE 6",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "95758",
            "telephone_number": "916-609-5155",
            "fax_number": "916-609-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE-CASTLEMAN",
        "first_name": "CRYSTAL",
        "middle_name": "SHARLENE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-17",
        "last_updated": "2022-05-12",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "251S0000X",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "APCC11010",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "APCC11010",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT130750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "WHITE-CASTLEMAN",
            "middle_name": "SHARLENE",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Elk Grove, CA

Sources for this page

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