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KERRY COSTELLO MFT
NPI 1285385849
Marriage & Family Therapist in Camarillo, CA

Active since January 14, 2022PECOS Enrolled
1317 DEL NORTE RD STE 200, CAMARILLO, CA 93010(805) 415-2441 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 14, 2026, Mar 9, 2023, Jan 14, 2022 (3 updates tracked since 2022).

About Kerry Costello Mft NPPES

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

KERRY COSTELLO MFT (NPI 1285385849) is an individual marriage & family therapist in Camarillo, California, licensed in California (40123) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285385849
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKERRY COSTELLOCredential: MFT
Location Address1317 DEL NORTE RD STE 200Camarillo, CA 93010-8368
Mailing Address44 Duvali DrVentura, CA 93003-2151 · (805) 415-2441
Phone(805) 415-2441
Sole ProprietorNo
Enumeration DateJanuary 14, 2022
Last NPPES UpdateJanuary 14, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2026
✔ NPI 1285385849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 40123
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.
Also ListedCounselorTaxonomy 101Y00000X · License 40123 (CA)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 40123 (CA)
1317 DEL NORTE RD STE 200, Camarillo, CA 93010
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kerry Costello Mft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kerry Costello reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Recovery Is A Beach
Same address
Rehabilitation, Substance Use Disorder
1317 DEL NORTE RD STE 200
Camarillo, CA 93010
  • Reassigned Medicare billing, California enrollment
NPI 1013627041 (805) 586-3472
Stages Family Therapy And Wellness Center, Inc.
Same address
Adult Mental Health
1317 DEL NORTE RD STE 200
Camarillo, CA 93010
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1639983208 (805) 415-2441

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 7

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

RECOVERY IS A BEACH
Clinic/Center (Rehabilitation, Substance Use Disorder)
1317 DEL NORTE RD STE 200
CAMARILLO, CA 93010
Ventura County (805) 586-3472
KIMBERLY MARTIN PSY.D.
Psychologist (Clinical)
1317 DEL NORTE RD STE 200
CAMARILLO, CA 93010
Ventura County (805) 813-1659
DOC MARTIN PSYCHOLOGICAL SERVICES, INC.
Psychologist (Clinical)
1317 DEL NORTE RD STE 200
CAMARILLO, CA 93010
Ventura County (805) 775-6506
STAGES FAMILY THERAPY AND WELLNESS CENTER, INC.
Clinic/Center (Adult Mental Health)
1317 DEL NORTE RD STE 200
CAMARILLO, CA 93010
Ventura County (805) 415-2441
DEIRDRE JONES SMITH M.S.
Counselor (Mental Health)
1317 DEL NORTE RD STE 200
CAMARILLO, CA 93010
Ventura County (805) 320-6259
SAMANTHA E. LOCKWOOD
Counselor (Addiction (Substance Use Disorder))
1317 DEL NORTE RD STE 200
CAMARILLO, CA 93010
Ventura County (805) 302-1375
ROY DURAN JR.
Counselor
1317 DEL NORTE RD STE 200
CAMARILLO, CA 93010
Ventura County (805) 320-6259

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 Kerry Costello's NPI number?

The NPI number for Kerry Costello is 1285385849. It was assigned to this individual provider in the NPPES registry on January 14, 2022.

Where is Kerry Costello located?

Kerry Costello practices at 1317 Del Norte Rd Ste 200, Camarillo, CA 93010. The listed phone number is (805) 415-2441.

What is Kerry Costello's specialty?

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

Is Kerry Costello enrolled in Medicare?

Yes. Kerry Costello is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kerry Costello's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kerry Costello reassigns Medicare benefits to 2 organizations: Recovery Is A Beach (Camarillo, CA) and Stages Family Therapy And Wellness Center, Inc. (Camarillo, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kerry Costello's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kerry Costello was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.