MR. PAUL CASTILLO (LPC) – Professional Counselor, NPI 1811916547

MR. PAUL CASTILLO (LPC) is a healthcare provider. based in Jonesboro, Arkansas. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. P0102011 (AR). The NPI Number for MR. PAUL CASTILLO (LPC) is 1811916547

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
MR. PAUL CASTILLO (LPC)
NPI
1811916547
Phone
(866) 972-1268
Address
2809 FOREST HOME RD
Enumeration Date
19 July 2006
Last Update Date
25 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5017813122
Graduation Year
1991 (35 years ago)
PAC ID
9638527492
Group Practice PAC ID
0749771715
Professional Enrollment ID
I20231205000702
Address ID
AR719017160HO135XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

640 MENTAL HEALTH COUNSELOR in AR

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Provider Addresses for MR. PAUL CASTILLO (LPC)

  • 2809, Forest Home Road, Jonesboro, Craighead County, Arkansas, 72401, United States

    JONESBORO, AR 724015320

    Phone: (866) 972-1268

    Type: Mailing

  • 1719, Merrill Drive, Rainwood, Little Rock, Pulaski County, Arkansas, 72212, United States

    LITTLE ROCK, AR 722124009

    Phone: (501) 663-2199

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-12-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231205000702IMental Health CounselorARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749771715View full group profile
NameSpecialtyState
Nurse PractitionerAR
Mental Health CounselorAR
Clinical Social WorkerAR
Clinical Social WorkerAR
Clinical Social WorkerMD
Clinical Social WorkerAR

Reviews

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Frequently asked questions

How is MR. PAUL CASTILLO (LPC) identified in CMS data?
CMS-hosted NPPES data lists MR. PAUL CASTILLO (LPC) with NPI 1811916547.
Is MR. PAUL CASTILLO (LPC) listed as active for patients and plans?
The listing shows MR. PAUL CASTILLO (LPC) as active in the NPI system.
What is MR. PAUL CASTILLO (LPC)'s primary classification?
Professional Counselor is the headline specialty for MR. PAUL CASTILLO (LPC) here. Clinical services aligned with this taxonomy classification.
Where should I expect MR. PAUL CASTILLO (LPC) on a map?
Expect Jonesboro, Arkansas as a primary anchor for MR. PAUL CASTILLO (LPC) unless the record lists multiple sites.
Why does MR. PAUL CASTILLO (LPC) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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