Kristen T Camacho

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT4872 Issued in FL

Practice address

6810 N State Road 7 Ste 300
Coconut Creek, FL 33073-4304

Phone

(954) 801-5506

NPI assigned

Jan 18, 2024

Last updated

Mar 18, 2024By 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

Other names 1

• Kristen Tara Sooklal Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1356102297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6810 N STATE ROAD 7 STE 300",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734304",
            "telephone_number": "954-801-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6810 N STATE ROAD 7 STE 300",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734304",
            "telephone_number": "954-801-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACHO",
        "first_name": "KRISTEN",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT4872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "SOOKLAL",
            "middle_name": "TARA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pierre Cabral
• Claudia Jannet Cadena
• Joane Cadet, MD
• Angel R Cadiz, MD
• Carmen Calderon
• Katelyn Elizabeth Camden, LMFT
• Jennifer Jayne Cameron, ATC/L
• Melissa Nicole Camhi, MS, LAT, ATC, CSCS
• Rosemarie Alicia Campbell Brown, RPH
• Chasidy Campbell

• Marriage & Family Therapist in Coconut Creek, FL
• Providers in Coconut Creek, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.