Individual provider Active NPI

Eric R Campillo-Juig, APRN

  • Mental Health Counselor
  • Miami, FL
National Provider Identifier
1205039005
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHC9123 Issued in FL
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

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP 9292654 FL
Family Nurse Practitioner 363LF0000X RN9292654 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X ARNP 9292654 FL
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
022-677-800MedicaidFL
020-979-000MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171220002705 FL Practitioner - Nurse Practitioner 6901173566 Reassigns benefits to 4 organizations

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
Best Choice Treatment and Medical Center IncGroup PAC ID 2860884756, 5 clinicians

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

LicenseStateTypeSpecialty
LMHC9123FLMDMental Health Counselor
RN9292654FLMDFamily Nurse Practitioner
ARNP 9292654FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Community Inc Multi-Specialty CurrentSince Aug 2, 2022 Accepting new patients
Campillo Medical Corp Multi-Specialty CurrentSince Feb 13, 2017 Accepting new patients
Es Rehab Professional Center, Inc Multi-Specialty CurrentSince Feb 24, 2022 Accepting new patients
Best Choice Treatment & Medical Center Inc Multi-Specialty CurrentSince Sep 1, 2024 Accepting new patients
Gomez Clinic Corp Multi-Specialty PastSince Nov 16, 2019 Accepting new patients
Alliance Healthcare Network Inc Multi-Specialty PastSince Mar 1, 2019 Accepting new patients
Carlos a. Larrauri, LLC Past Accepting new patients
Doctors Collaborative Care Solutions Multi-Specialty PastSince Aug 1, 2017 Accepting new patients
Cardentey Transport LLC PastSince May 19, 2024 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.

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

Verify at the official NPI Registry.