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

Q: 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.

Q: What is Sara Costello's specialty?

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

Q: 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 14 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.

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: August 02, 2026.

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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. She is a graduate of Other (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

Phone(831) 318-0558

Fax(831) 603-6061

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

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

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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 (PECOS)

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

PECOS PAC ID4880196419

PECOS Enrollment IDI20250904000898

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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.

BEACON HOUSE

Clinic/Center (Rehabilitation, Substance Use Disorder)