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1568902849 NPI number — ROXANNE CASTILLO BECKETT MA, LPC-S

NPI Number: 1568902849
Health Care Provider/Practitioner: ROXANNE CASTILLO BECKETT MA, LPC-S

Information about “1568902849” NPI (ROXANNE CASTILLO BECKETT MA, LPC-S) exists in 1568902849 in HTML format HTML  |  1568902849 in plain Text format TXT  |  1568902849 in PDF (Portable Document Format) PDF  |  1568902849 in an XML format XML  formats.

NPI Number : 1568902849 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1568902849",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CASTILLO BECKETT",
    "FirstName": "ROXANNE",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MA, LPC-S",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CASTILLO",
    "OtherFirstName": "ROXANNE",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "20770 US HWY 281N STE 108",
    "SecondLineMailingAddress": "PO BOX #478",
    "MailingAddressCityName": "SAN ANTONIO",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78258",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "267-200-2056",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2021 GUADALUPE ST STE 260",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "AUSTIN",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78705-5654",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "832-526-2369",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/06/2017",
    "LastUpdateDate": "08/30/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": "11/04/2019",
    "NPIReactivationDate": "02/27/2025",
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "76197",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "101Y00000X",
          "TaxonomyName": "Counselor",
          "LicenseNumber": "76197",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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