Active NPI
Eric R Campillo-Juig, APRN
- Mental Health Counselor
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LMHC9123
- Practice address
- 6583 SW 39TH Ter
Miami, FL 33155-4821 - Phone
- (786) 615-3187
- Fax
- (786) 756-1010
- NPI assigned
- Jun 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP 9292654 | FL | |
| Family Nurse Practitioner | 363LF0000X | RN9292654 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | ARNP 9292654 | FL | |
| Mental Health Counselor | 101YM0800X | LMHC9123 | FL | Primary |
Addresses
Primary practice location
6583 SW 39TH Ter
Miami, FL 33155-4821
Mailing address
6583 SW 39TH Ter
Miami, FL 33155-4821
Phone (786) 615-3187
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022-677-800 | Medicaid | FL | |
| 020-979-000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8370 SW 8TH St
Miami, FL 33144-4180
Phone (305) 317-7568
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMHC9123 | FL | MD | Mental Health Counselor |
| RN9292654 | FL | MD | Family Nurse Practitioner |
| ARNP 9292654 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Community Inc | Multi-Specialty | Current | Accepting new patients |
| Campillo Medical Corp | Multi-Specialty | Current | Accepting new patients |
| Es Rehab Professional Center, Inc | Multi-Specialty | Current | Accepting new patients |
| Best Choice Treatment & Medical Center Inc | Multi-Specialty | Current | Accepting new patients |
| Gomez Clinic Corp | Multi-Specialty | Past | Accepting new patients |
| Alliance Healthcare Network Inc | Multi-Specialty | Past | Accepting new patients |
| Carlos a. Larrauri, LLC | Past | Accepting new patients | |
| Doctors Collaborative Care Solutions | Multi-Specialty | Past | Accepting new patients |
| Cardentey Transport LLC | Past | Accepting new patients |
Locations
8725 NW 18th Ter
Ste 206
Doral, FL 33172
Phone (786) 451-8700
5600 SW 135th Ave
Ste 216
Miami, FL 33183
Phone (786) 536-6196
6583 SW 39th Ter
Miami, FL 33155
Phone (786) 615-3187
8370 SW 8th St
Miami, FL 33144
Phone (305) 265-7505
Networks
- HealthSun Health Plans Network
Organizations & group practices 9
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.
-
- Physical Therapy Clinic/Center
- Miami, FL
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Multi-Specialty
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Miami, FL
- NPI 1386948222
Multi-Specialty
-
- Community/Behavioral Health Agency
- Doral, FL
- NPI 1851994628
Multi-Specialty
-
- Community/Behavioral Health Agency
- Miami, FL
- NPI 1104324524
Multi-Specialty
-
- Non-emergency Medical Transport (VAN)
- Miami Lakes, FL
- NPI 1881442978
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tavernier, FL
- NPI 1720541600
-
- General Practice Physician
- Miami, FL
- NPI 1831548783
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699401600000",
"number": "1205039005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6583 SW 39TH TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331554821",
"telephone_number": "786-615-3187",
"fax_number": "786-756-1010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6583 SW 39TH TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331554821",
"telephone_number": "786-615-3187",
"fax_number": "786-756-1010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPILLO-JUIG",
"first_name": "ERIC",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-08",
"last_updated": "2023-11-08",
"certification_date": "2023-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP 9292654",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "RN9292654",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "ARNP 9292654",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "LMHC9123",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022-677-800",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020-979-000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.