Individual provider Active NPI

Janette Elaine Castillo, PH.D.

  • Counseling Psychologist
  • Las Cruces, NM
National Provider Identifier
1942412135
Registry record updated Dec 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
1107 Issued in NM
Practice address
1605 S Main St
BLDG a
Las Cruces, NM 88005-3124
Phone
(575) 571-8743
NPI assigned
May 3, 2007
Last updated
Dec 20, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-4629 CO
Counseling Psychologist 103TC1900X 1107 NM Primary

Addresses

Primary practice location

1605 S Main St
BLDG a
Las Cruces, NM 88005-3124

Mailing address

2122 Via Tesoro
Las Cruces, NM 88005-8220
Phone (575) 642-3597

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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

Enrollment IDStateProvider typePAC IDDetails
I20100714001031 NM Practitioner - Clinical Psychologist 7214069061 Reassigns benefits to 1 organization
Practice locations: Las Cruces, NM

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1605 S Main St
Las Cruces, NM 88005-3124
Phone (575) 527-0614

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LPC-4629COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Castillo Psychological, LLC CurrentSince Feb 16, 2019 Accepting new patients

Locations

1605 S Main St
Bldg A
Las Cruces, NM 88005
Phone (575) 527-0614

1605 S Main St
Las Cruces, NM 88005
Phone (575) 527-0614

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.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513728000000",
    "number": "1942412135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 VIA TESORO",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880058220",
            "telephone_number": "575-642-3597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 S MAIN ST",
            "address_2": "BLDG A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053124",
            "telephone_number": "575-571-8743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "JANETTE",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2017-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC-4629",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NM",
            "license": "1107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.