Active NPI
Hallie Costello
- Clinical Social Worker
- Faribault, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 410 Central Ave N
Faribault, MN 55021-5217 - Phone
- (507) 446-0431
- NPI assigned
- Jan 16, 2022
- Last updated
- Mar 17, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
410 Central Ave N
Faribault, MN 55021-5217
Mailing address
10567 165TH St W
Lakeville, MN 55044-3523
Phone (952) 767-9374
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mears Psychological LLC | Current | Accepting new patients | |
| Fernbrook Family Center, Inc | Past | Accepting new patients | |
| Fernbrook Family Center | Past | Accepting new patients | |
| Healthy Balance Psychology, LLC | Past | Accepting new patients |
Locations
220 Central Ave N
Ste 100
Faribault, MN 55021
Phone (507) 475-4721
10567 165th St W
Lakeville, MN 55044
Phone (952) 767-9374
150 Saint Andrews Dr
Ste 120
Mankato, MN 56001
Phone 9527679374 ext. 79374
Organizations & group practices 4
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 The Soul's Apothecary
- Clinical Psychologist
- Lakeville, MN
- NPI 1881333946
-
- Social Worker
- Red Wing, MN
- NPI 1437427911
-
- Case Management Agency
- Faribault, MN
- NPI 1083537781
-
- Psychologist
- Faribault, MN
- NPI 1891312732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742169600000",
"number": "1881345379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10567 165TH ST W",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "550443523",
"telephone_number": "952-767-9374",
"fax_number": "855-538-0663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 CENTRAL AVE N",
"city": "FARIBAULT",
"state": "MN",
"postal_code": "550215217",
"telephone_number": "507-446-0431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTELLO",
"first_name": "HALLIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-16",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Faribault, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.