KIMBERLY CASTILLO LPC - NPI 1215508718 - Counselor in Clifton, NJ

Q: What is Kimberly Castillo's NPI number?

The NPI number for Kimberly Castillo is 1215508718. It was assigned to this individual provider in the NPPES registry on July 6, 2021.

Q: What is Kimberly Castillo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Castillo was last updated on July 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kimberly Castillo Lpc NPPES

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

KIMBERLY CASTILLO LPC (NPI 1215508718) is an individual professional provider in Clifton, New Jersey, licensed in New Jersey (37PC01050300) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1215508718

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameKIMBERLY CASTILLOCredential: LPC

Location Address1451 VAN HOUTEN AVEClifton, NJ 07013-2432

Mailing Address595 Chestnut Ridge Rd Fl 41Woodcliff Lake, NJ 07677-7663 · (732) 982-2888

Phone(973) 473-2775

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateJuly 6, 2021

Last NPPES UpdateJuly 29, 20242 updates tracked since enumeration

NPPES CertifiedJuly 29, 2024

✔ NPI 1215508718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in NJ · 37PC01050300

1451 VAN HOUTEN AVE, Clifton, NJ 07013

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly Castillo Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800334467

PECOS Enrollment IDI20240813004410

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 8

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

PETER ANDERSON PHD

Counselor (Professional)