COSTELLO CLINIC, P.A.
NPI 1619073228
Clinic/Center - Adult Mental Health in Lewisville, TX
About Costello Clinic, P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COSTELLO CLINIC, P.A. (NPI 1619073228) is a healthcare organization registered as an adult mental health in Lewisville, Texas and active in the NPI registry since September 2006. The organization lists Louis E Costello, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Costello Clinic, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Costello Clinic, P.A., which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Costello Clinic, P.A.'s NPI number?
The NPI number for Costello Clinic, P.A. is 1619073228. It was assigned to this organization in the NPPES registry on September 15, 2006.
Where is Costello Clinic, P.A. located?
Costello Clinic, P.A. is located at 131 Degan Ave Suite 105, Lewisville, TX 75057. The listed phone number is (972) 221-7006.
What is Costello Clinic, P.A.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.
Is Costello Clinic, P.A. enrolled in Medicare?
Yes. Costello Clinic, P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Costello Clinic, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Costello Clinic, P.A.. A 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 the clinician's services. The largest specialties are Nurse Practitioner (4) and Psychiatry (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Costello Clinic, P.A. accept?
Health plans from Blue Cross and Blue Shield of Texas list Costello Clinic, P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Costello Clinic, P.A. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.
# Costello Clinic, P.a. · NPI 1619073228
Adult Mental Health organization in Lewisville, Texas. Organization record, active in the CMS NPPES registry since September 15, 2006.
## Identity
- **NPI:** 1619073228 (Entity type: Organization)
- **Enumerated:** September 15, 2006
- **Primary specialty:** Clinic/Center - Adult Mental Health · taxonomy 261QM0850X
- **Organization subpart:** No
- **Authorized official:** Louis Costello, PRESIDENT
## Practice location
- **Address:** 131 DEGAN AVE, SUITE 105, Lewisville, TX 75057-3622
- **Phone:** (972) 221-7006 · **Fax:** (972) 353-5081
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Psychiatry (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1619073228) · Data from the CMS NPPES public registry.