Healthcare Provider Details

I. General information

NPI: 1013688068
Provider Name (Legal Business Name): JAIME ALBERTO CASTILLO LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ALBERTO CASTILLO APC

II. Dates (important events)

Enumeration Date: 09/21/2021
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8015 W ALAMEDA AVE STE G50
LAKEWOOD CO
80226-3041
US

IV. Provider business mailing address

8015 W ALAMEDA AVE STE G50
LAKEWOOD CO
80226-3041
US

V. Phone/Fax

Practice location:
  • Phone: 970-310-3406
  • Fax:
Mailing address:
  • Phone: 970-310-3406
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC015591
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0024153
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: