JON PATRICK COSTALES LPC
NPI 1902361553
Counselor - Professional in Canton, GA
About Jon Patrick Costales Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JON PATRICK COSTALES LPC (NPI 1902361553) is an individual professional provider in Canton, Georgia, licensed in Georgia (LPC009867) and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jon Patrick Costales Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jon Costales's NPI number?
The NPI number for Jon Costales is 1902361553. It was assigned to this individual provider in the NPPES registry on February 7, 2019.
Where is Jon Costales located?
Jon Costales practices at 310 Paper Trail Way Ste 106, Canton, GA 30115. The listed phone number is (678) 880-4645.
What is Jon Costales's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Jon Costales enrolled in Medicare?
Yes. Jon Costales is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jon Costales was last updated on February 7, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.
