Individual provider Active NPI

Maria Lucia Camargo, ED.D, LPC

  • Mental Health Counselor
  • Rockwall, TX
National Provider Identifier
1306160700
Registry record updated Mar 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
63470 Issued in TX
Practice address
3826 Sycamore LN
Rockwall, TX 75032-4602
Phone
(972) 272-4429
Fax
(972) 494-2812
NPI assigned
Mar 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 63470 TX Primary

Addresses

Primary practice location

3826 Sycamore LN
Rockwall, TX 75032-4602

Mailing address

3826 Sycamore LN
Rockwall, TX 75032-4602
Phone (972) 272-4429

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
63470TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268611200000",
    "number": "1306160700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3826 SYCAMORE LN",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750324602",
            "telephone_number": "972-272-4429",
            "fax_number": "972-494-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3826 SYCAMORE LN",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750324602",
            "telephone_number": "972-272-4429",
            "fax_number": "972-494-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMARGO",
        "first_name": "MARIA",
        "middle_name": "LUCIA",
        "name_prefix": "Ms.",
        "credential": "ED.D, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-15",
        "last_updated": "2010-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "63470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; 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.