Individual provider Active NPI

Maricarmen Campos Ruesga, CBHCM

  • Mental Health Counselor
  • Hialeah, FL
National Provider Identifier
1568247385
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
6215 West 24TH Avenue
Apt 101
Hialeah, FL 33016-3906
Phone
(305) 299-2067
NPI assigned
Aug 29, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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 Primary

Addresses

Primary practice location

6215 West 24TH Avenue
Apt 101
Hialeah, FL 33016-3906

Mailing address

6215 West 24TH Avenue
Apt 101
Hialeah, FL 33016-3906
Phone (305) 299-2067

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

NPI Registry JSON

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1568247385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6215 WEST 24TH AVENUE",
            "address_2": "APT 101",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330163906",
            "telephone_number": "305-299-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6215 WEST 24TH AVENUE",
            "address_2": "APT 101",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330163906",
            "telephone_number": "305-299-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPOS RUESGA",
        "first_name": "MARICARMEN",
        "credential": "CBHCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.