Jennifer Castillo

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

1809 S Hudson Dr
Enid, OK 73703-8002

Phone

(580) 540-5960

Fax

(580) 297-5126

NPI assigned

Jul 17, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Millennium Community Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Enid, OK
  • NPI 1013309616
  NPD (past)

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1881247096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 S HUDSON DR",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737038002",
            "telephone_number": "580-540-5960",
            "fax_number": "580-297-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 S HUDSON DR",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737038002",
            "telephone_number": "580-540-5960",
            "fax_number": "580-297-5126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "312 N Van Buren St",
            "address_purpose": "LOCATION",
            "city": "Enid",
            "state": "OK",
            "postal_code": "737034500",
            "country_code": "US",
            "telephone_number": "580-478-4856",
            "fax_number": "580-297-5126",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1809 S Hudson Dr",
            "address_purpose": "LOCATION",
            "city": "Enid",
            "state": "OK",
            "postal_code": "737038002",
            "country_code": "US",
            "telephone_number": "580-540-5960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Renea Carson, PA-C
• Carter Healthcare of Western Oklahoma, LLC
• Courtney Carter, BHRS
• Jonni Carter, BS, BHRS
• Alexandria Noel Castellanos, MCP, LPC-C
• Jason Cates
• Catholic Charities
• Celestia Advanced Psychiatric Services
• Central State Services Inc
• Certified Allergy, Asthma, and Immunology Specialists

• Peer Specialist in Enid, OK
• Providers in Enid, OK by specialty
• Peer Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.