Active NPI
Kimberly Castelo
- Marriage & Family Therapist
- Seattle, WA
National Provider Identifier
1992114789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MG60479638
- Practice address
- 1836 Westlake Ave N
Suite 303
Seattle, WA 98109-2755 - Phone
- (206) 954-9102
- NPI assigned
- Aug 6, 2014
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MG60479638 | WA | Primary |
Addresses
Primary practice location
1836 Westlake Ave N
Suite 303
Seattle, WA 98109-2755
Mailing address
1836 Westlake Ave N
Suite 303
Seattle, WA 98109-2755
Phone (206) 954-9102
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 5, 2024 through Feb 5, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MG60479638 | WA | MD | Marriage & Family Therapist |
| 2345 | NC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407283200000",
"number": "1992114789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1836 WESTLAKE AVE N",
"address_2": "SUITE 303",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981092755",
"telephone_number": "206-954-9102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1836 WESTLAKE AVE N",
"address_2": "SUITE 303",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981092755",
"telephone_number": "206-954-9102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTELO",
"first_name": "KIMBERLY",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-06",
"last_updated": "2014-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "MG60479638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.