Individual provider Active NPI

Blanca Campa, LPC

  • Professional Counselor
  • El Paso, TX
National Provider Identifier
1114619178
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
17490 Issued in TX
Practice address
9440 Viscount Blvd Ste 200
El Paso, TX 79925-7054
Phone
(915) 799-0747
NPI assigned
May 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 17490 TX Primary

Addresses

Primary practice location

9440 Viscount Blvd Ste 200
El Paso, TX 79925-7054

Mailing address

124 W Castellano Dr Ste 201
El Paso, TX 79912-6139
Phone (915) 799-0747

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

LicenseStateTypeSpecialty
17490TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Behavioral and Trauma Specialties, LLC Professional CurrentSince Jun 25, 2023 Accepting new patients

Locations

9440 Viscount Blvd
Ste 200
El Paso, TX 79925
Phone (915) 637-7627

124 W Castellano Dr
Ste 201
El Paso, TX 79912
Phone (915) 799-0747

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1114619178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 W CASTELLANO DR STE 201",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799126139",
            "telephone_number": "915-799-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9440 VISCOUNT BLVD STE 200",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257054",
            "telephone_number": "915-799-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPA",
        "first_name": "BLANCA",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "17490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.