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

Q: 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.

Q: What is Kerry Costello's specialty?

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

Q: 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 6 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.

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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 and is a graduate of Other (1999).

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

Medical School CMSOtherGraduated 1999

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kerry Costello Mft 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 ID3274046529

PECOS Enrollment IDI20250630003281

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.

RECOVERY IS A BEACH

Clinic/Center (Rehabilitation, Substance Use Disorder)