Individual provider Active NPI

Maria Laura Camacho, LPC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1154888733
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
74235 Issued in TX
Practice address
9258 Culebra Rd Ste 130
San Antonio, TX 78251-2877
Phone
(210) 840-4133
Fax
(210) 942-4660
NPI assigned
Mar 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X 74235 TX Primary

Addresses

Primary practice location

9258 Culebra Rd Ste 130
San Antonio, TX 78251-2877

Mailing address

9258 Culebra Rd Ste 130
San Antonio, TX 78251-2877
Phone (210) 840-4133

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
74235TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pause N Breathe Life Counseling PLLC Mental Health CurrentSince Aug 29, 2021 Accepting new patients
Roy Maas' Youth Alternatives, Inc. Professional Past Accepting new patients

Locations

9258 Culebra Rd
Ste 130
San Antonio, TX 78251
Phone (210) 410-5634

Organizations & group practices 2

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": "1551398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1154888733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9258 CULEBRA RD STE 130",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782512877",
            "telephone_number": "210-840-4133",
            "fax_number": "210-942-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9258 CULEBRA RD STE 130",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782512877",
            "telephone_number": "210-840-4133",
            "fax_number": "210-942-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACHO",
        "first_name": "MARIA",
        "middle_name": "LAURA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-01",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "74235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.