Active NPI
Jeanie Camacho, LPCC
- Professional Counselor
- Hopkinsville, KY
National Provider Identifier
1235628835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 306033
- Practice address
- 290 Burley Ave
Hopkinsville, KY 42240-8725 - Phone
- (270) 707-2098
- NPI assigned
- May 9, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 306033 | KY | Primary |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
290 Burley Ave
Hopkinsville, KY 42240-8725
Mailing address
PO Box 614
Hopkinsville, KY 42241-0614
Phone (270) 886-2205
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
| License | State | Type | Specialty |
|---|---|---|---|
| 306033 | KY | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779840000000",
"number": "1235628835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 614",
"city": "HOPKINSVILLE",
"state": "KY",
"postal_code": "422410614",
"telephone_number": "270-886-2205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 BURLEY AVE",
"city": "HOPKINSVILLE",
"state": "KY",
"postal_code": "422408725",
"telephone_number": "270-707-2098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMACHO",
"first_name": "JEANIE",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-09",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "306033",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hopkinsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.