Active NPI
Kelly Driscoll Castelli
- Mental Health Counselor
- Las Cruces, NM
National Provider Identifier
1891029641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 06748
- Practice address
- 1690 S Telshor Blvd
Las Cruces, NM 88011-4889 - Phone
- (575) 382-3500
- NPI assigned
- Sep 28, 2009
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 06748 | NM | Primary |
Addresses
Primary practice location
1690 S Telshor Blvd
Las Cruces, NM 88011-4889
Mailing address
5006 Round Rock Dr
El Paso, TX 79924-1132
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06748 | Medicaid | NM |
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 |
|---|---|---|---|
| 06748 | NM | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254096000000",
"number": "1891029641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5006 ROUND ROCK DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799241132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1690 S TELSHOR BLVD",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880114889",
"telephone_number": "575-382-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRISCOLL CASTELLI",
"first_name": "KELLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-28",
"last_updated": "2009-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "06748",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06748",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.