Active NPI
Julie Costello, LCMFT
- Marriage & Family Therapist
- Pittsburg, KS
National Provider Identifier
1861761462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2875
- Practice address
- 2809 N Broadway St Ste E
Pittsburg, KS 66762-2684 - Phone
- (620) 644-3013
- NPI assigned
- Dec 28, 2011
- Last updated
- Feb 11, 2022
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 2018038211 | MO | |
| Marriage & Family Therapist | 106H00000X | MFT001291 | GA | |
| Marriage & Family Therapist | 106H00000X | 1470 | NC | |
| Marriage & Family Therapist | 106H00000X | 2875 | KS | Primary |
Addresses
Primary practice location
2809 N Broadway St Ste E
Pittsburg, KS 66762-2684
Mailing address
2809 N Broadway St Ste E
Pittsburg, KS 66762-2684
Phone (620) 644-3013
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12432779 | Other | CAQH PROVIDER NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MFT001291 | GA | MD | Marriage & Family Therapist |
| 2018038211 | MO | MD | Marriage & Family Therapist |
| 1470 | NC | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Got Your Six Counseling, LLC | Current | Accepting new patients |
Locations
2809 N Broadway St
Ste E
Pittsburg, KS 66762
Phone (620) 232-3600
702 N Locust St
Unit 1623
Pittsburg, KS 66762
Organizations & group practices 1
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.
-
dba Got Your Six Counseling
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pittsburg, KS
- NPI 1033675624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644537600000",
"number": "1861761462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2809 N BROADWAY ST STE E",
"city": "PITTSBURG",
"state": "KS",
"postal_code": "667622684",
"telephone_number": "620-644-3013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2809 N BROADWAY ST STE E",
"city": "PITTSBURG",
"state": "KS",
"postal_code": "667622684",
"telephone_number": "620-644-3013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTELLO",
"first_name": "JULIE",
"name_prefix": "Dr.",
"credential": "LCMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-28",
"last_updated": "2022-02-11",
"certification_date": "2020-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MO",
"license": "2018038211",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "GA",
"license": "MFT001291",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "1470",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "KS",
"license": "2875",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH PROVIDER NUMBER",
"identifier": "12432779",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburg, KS
- Patricia Ann Cook, LMSW
- Dustin Cooney
- Kent J Cooper, M.D.
- Kathryn Goodwin Cornelius, MD
- Brent Leroy Cosens, D.O.
- Michelle L Coulter Morrell, LSCSW
- Coummunity Mental Health Center of Crawford County
- County of Crawford (Community Mental Health Center of Crawford County)
- County of Crawford (Crawford County Health Department)
- County of Crawford (Community Mental Health Center of Crawford County)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.