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GREGORIO CASTRO HEREDIA
NPI 1245120062
Counselor - Mental Health in Madison, WI

Active since July 03, 2025
4111 E TOWNE BLVD, MADISON, WI 53704(305) 515-0109 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gregorio Castro Heredia NPPES

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

GREGORIO CASTRO HEREDIA (NPI 1245120062) is an individual mental health provider in Madison, Wisconsin, licensed in Wisconsin (11405-125) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1245120062
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameGREGORIO CASTRO HEREDIA
Location Address4111 E TOWNE BLVDMadison, WI 53704-3731
Mailing Address4111 E Towne BlvdMadison, WI 53704-3731 · (305) 515-0109
Phone(305) 515-0109
Sole ProprietorNo
Enumeration DateJuly 3, 2025
Last NPPES UpdateJuly 21, 2025
NPPES CertifiedJuly 21, 2025
✔ NPI 1245120062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WI · 11405-125
4111 E TOWNE BLVD, Madison, WI 53704
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gregorio Castro Heredia's NPI number?

The NPI number for Gregorio Castro Heredia is 1245120062. It was assigned to this individual provider in the NPPES registry on July 3, 2025.

Where is Gregorio Castro Heredia located?

Gregorio Castro Heredia practices at 4111 E Towne Blvd, Madison, WI 53704. The listed phone number is (305) 515-0109.

What is Gregorio Castro Heredia's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Gregorio Castro Heredia was last updated on July 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.