Caitlyn Camacho, LPC, ACS, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00706700 Issued in NJ

Practice address

350 Sparta Ave Ste C2A
Sparta, NJ 07871-1123

Phone

(973) 726-4533

NPI assigned

Jan 16, 2020

Last updated

Oct 5, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lakeside Counseling Associates, LLC

  • Professional Counselor
  • Sparta, NJ
  • NPI 1578010674
  NPD

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1205466406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CHERRY TREE LN",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078712211",
            "telephone_number": "201-572-2603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 SPARTA AVE STE C2A",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711123",
            "telephone_number": "973-726-4533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "NJ",
            "postal_code": "079607366",
            "country_code": "US",
            "telephone_number": "862-242-3500 x505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMACHO",
        "first_name": "CAITLYN",
        "credential": "LPC, ACS, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-16",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00706700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph N Byrne, MSW, LSW
• Kelsey Byrnes
• Michael Charles Cabassa, D.D.S.
• Carol Elizabeth Calabrese, MD
• Gregory Calkins, PTA
• Stephen Candio, DDS
• Zelia D Cannon, DDS
• Christian Canzoniero, M.D.
• Capitol Care, Inc.
• Alexis Nicole Capozzoli, M.D.

• Professional Counselor in Sparta, NJ
• Providers in Sparta, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.