Chantal Rose Castillo, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-23382 Issued in AZ

Practice address

19330 S 208TH PL
Queen Creek, AZ 85142-1615

Phone

(520) 517-8223

NPI assigned

Jan 6, 2021

Last updated

Mar 4, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Inner Bloom Professional Counseling Services LLC

  • Mental Health Counselor
  • Queen Creek, AZ
  • NPI 1316746357
  Medicare reassignment NPD Authorized official
• Lifeline Professional Counseling Services, Inc

  dba Lifeline East

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mesa, AZ
  • NPI 1194285643
  NPD (past)
• Lifeline Professional Counseling Services, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chandler, AZ
  • NPI 1285823377

  Counselor

  NPD (past)

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1851989651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19330 S 208TH PL",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851421615",
            "telephone_number": "520-517-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19330 S 208TH PL",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851421615",
            "telephone_number": "520-517-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "CHANTAL",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-06",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-23382",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-23382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeff M Carr, PT
• Lasonia Young Carr, FNP-C
• Jennifer Dyan Casey, M.S. CCC-SLP
• Michelle Cassidy, M.ED., RBT
• Garrett Eugene Cassio, DPT
• Stephanie Marie Celis
• Joshua Chapman
• Megan Chapple, COTA/L
• Charity Air Ambulance
• Sierra Ann Charriere, LCSW

• Professional Counselor in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.