SARA COSTELLO
NPI 1669365300
Speech-Language Pathologist in Pacific Grove, CA

Active since June 02, 2025
667 LIGHTHOUSE AVE STE 201, PACIFIC GROVE, CA 93950(831) 318-0558(831) 603-6061 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sara Costello NPPES

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

SARA COSTELLO (NPI 1669365300) is an individual speech-language pathologist provider in Pacific Grove, California and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1669365300
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSARA COSTELLO
Location Address667 LIGHTHOUSE AVE STE 201Pacific Grove, CA 93950-2666
Mailing Address187 Palm Ave Apt 41Marina, CA 93933-2931 · (619) 972-1460
Fax(831) 603-6061
Sole ProprietorNo
Enumeration DateJune 2, 2025
NPPES CertifiedJune 1, 2025
✔ NPI 1669365300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
667 LIGHTHOUSE AVE STE 201, Pacific Grove, CA 93950

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Billing Reassignment

Medicare enrollment records show Sara Costello reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Speech-Language Pathologist
667 LIGHTHOUSE AVE STE 201
Pacific Grove, CA 93950
  • Reassigned Medicare billing, California enrollment
  • 19 clinicians in this Medicare group

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 18

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

Clinic/Center (Rehabilitation, Substance Use Disorder)
667 LIGHTHOUSE AVE STE 201
PACIFIC GROVE, CA 93950
Speech-Language Pathologist
667 LIGHTHOUSE AVE STE 201
PACIFIC GROVE, CA 93950
Speech-Language Pathologist
667 LIGHTHOUSE AVE STE 201
PACIFIC GROVE, CA 93950
Speech-Language Pathologist
667 LIGHTHOUSE AVE STE 201
PACIFIC GROVE, CA 93950
Speech-Language Pathologist
667 LIGHTHOUSE AVE STE 201
PACIFIC GROVE, CA 93950
Speech-Language Pathologist
667 LIGHTHOUSE AVE STE 201
PACIFIC GROVE, CA 93950
Speech-Language Pathologist
667 LIGHTHOUSE AVE STE 201
PACIFIC GROVE, CA 93950
Speech-Language Pathologist
667 LIGHTHOUSE AVE STE 201
PACIFIC GROVE, CA 93950

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 Sara Costello's NPI number?

The NPI number for Sara Costello is 1669365300. It was assigned to this individual provider in the NPPES registry on June 2, 2025.

Where is Sara Costello located?

Sara Costello practices at 667 Lighthouse Ave Ste 201, Pacific Grove, CA 93950. The listed phone number is (831) 318-0558.

What is Sara Costello's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Sara Costello enrolled in Medicare?

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

Which organization bills Medicare for Sara Costello's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sara Costello reassigns Medicare benefits to Monterey Bay Speech Therapy, Inc. (Pacific Grove, CA). The 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 Sara 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 Sara Costello was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.