MS. ANGELA COSTELLO LMFT - NPI 1124150750 - Marriage & Family Therapist in Los Angeles, CA

Q: What is Angela Costello's NPI number?

The NPI number for Angela Costello is 1124150750. It was assigned to this individual provider in the NPPES registry on March 9, 2007.

Q: What is Angela Costello's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Angela Costello enrolled in Medicare?

No. Angela Costello has opted out of Medicare through April 23, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Angela Costello was last updated on October 8, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ms. Angela Costello Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. ANGELA COSTELLO LMFT (NPI 1124150750) is an individual marriage & family therapist in Los Angeles, California, licensed in California (53654) and active in the NPI registry since March 2007. She has opted out of Medicare through April 23, 2028.

NPPES Registry Identity

NPI1124150750

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMS. ANGELA COSTELLOCredential: LMFT

Location Address6330 SAN VICENTE BLVD STE 520Los Angeles, CA 90048-5455

Mailing Address6330 San Vicente Blvd Ste 520Los Angeles, CA 90048-5455 · (310) 877-0657

Phone(310) 887-0657

Sole ProprietorYes

Enumeration DateMarch 9, 2007

Last NPPES UpdateOctober 8, 20234 updates tracked since enumeration

NPPES CertifiedOctober 8, 2023

✔ NPI 1124150750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 53654

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

6330 SAN VICENTE BLVD STE 520, Los Angeles, CA 90048

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Angela Costello Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 23, 2024 through April 23, 2028.

Opt-Out Effective DateApril 23, 2024

Opt-Out In Effect ThroughApril 23, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARLENE LORI SCHOEN PH.D.

Psychologist (Clinical)