Michelle E Cambridge, MFT- INTERN

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CI669 Issued in NV

Practice address

3125 Bublin Bay Ave
North Las Vegas, NV 89081-6447

Phone

(702) 610-3016

NPI assigned

Oct 27, 2010

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Nevada Family Practice Residency Program, Inc.

  dba Mojave Adult, Child and Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Reno, NV
  • NPI 1497780167
  NPD (past)

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1528368305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 BUBLIN BAY AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890816447",
            "telephone_number": "702-610-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 BUBLIN BAY AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890816447",
            "telephone_number": "702-610-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMBRIDGE",
        "first_name": "MICHELLE",
        "middle_name": "E",
        "credential": "MFT- INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "CI669",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CI669",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "MI0890",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevan Abel Camacho, AGACNP-BC
• Sabina Camacho
• Jose Camargo
• Raymond Anthony Camargo
• Lenise Cambell
• Marialaura Camejo Llanes
• Alfredo Camellon Esquivel
• Camille Crawford CCC Services
• Denada Campbel
• Aleta Campbell

• Mental Health Counselor in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Mental Health Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.