Active NPI
Carolina I Campos, LPC
- Professional Counselor
- Edinburg, TX
National Provider Identifier
1003199142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 68267
- Practice address
- 5420 S Jackson Rd
Edinburg, TX 78539-6672 - Phone
- (956) 631-9000
- Fax
- (956) 968-1402
- NPI assigned
- Sep 26, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 68267 | TX | Primary |
Addresses
Primary practice location
5420 S Jackson Rd
Edinburg, TX 78539-6672
Mailing address
5420 S Jackson Rd
Edinburg, TX 78539-6672
Phone (956) 631-9000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 68267 | Other | TX | TX STATE BOARD OF EXAMINERS PROFESSIONAL COUNSELORS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68267 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling Center of South Texas, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Counselor
- Edinburg, TX
- NPI 1013206937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469750400000",
"number": "1003199142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5420 S JACKSON RD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785396672",
"telephone_number": "956-631-9000",
"fax_number": "956-631-9013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5420 S JACKSON RD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785396672",
"telephone_number": "956-631-9000",
"fax_number": "956-968-1402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPOS",
"first_name": "CAROLINA",
"middle_name": "I",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-26",
"last_updated": "2016-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "68267",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX STATE BOARD OF EXAMINERS PROFESSIONAL COUNSELORS",
"identifier": "68267",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.