HEATHER COSTELLO CPSS
NPI 1306669130
Peer Specialist in San Diego, CA
- Individual
- Female
- Peer Specialist
About HEATHER COSTELLO
This page provides the complete NPI Profile along with additional information for Heather Costello, a provider established in San Diego, California with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1306669130 assigned on October 2024. The practitioner's primary taxonomy code is 175T00000X with license number MPSS-KEFXHO (CA). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1306669130 Verify this NPI
- Provider Name
- HEATHER COSTELLO CPSS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 5485 PIRE AVE SAN DIEGO, CA 92122
- Location Phone
- (858) 220-3231
- Mailing Address
- 5485 PIRE AVE SAN DIEGO, CA 92122
- Mailing Phone
- (858) 220-3231
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-31-2024
- Last Update Date
- 10-31-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- License No.
- MPSS-KEFXHO
- License State
- CA
- Taxonomy Description
- Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306669130, enumerated as an "individual" on October 31, 2024.
The provider is located at 5485 PIRE AVE SAN DIEGO, CA 92122 and the phone number is (858) 220-3231.
Peer Specialist with taxonomy code 175T00000X.
