Active NPI
Leeza Arielle Camacho
- Mental Health Counselor
- East Boston, MA
National Provider Identifier
1619595998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 14 Porter St
East Boston, MA 02128-2116 - Phone
- (617) 912-7502
- NPI assigned
- Jul 13, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
14 Porter St
East Boston, MA 02128-2116
Mailing address
5 Oakwood Ave Apt C5
Lynn, MA 01902-1577
Other practice location 1
95 Pleasant St
Lynn, MA 01901-1524
Phone (781) 581-4442
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | lcamacho@northsuffolk.org |
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": "1594598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631059200000",
"number": "1619595998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 OAKWOOD AVE APT C5",
"city": "LYNN",
"state": "MA",
"postal_code": "019021577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 PORTER ST",
"city": "EAST BOSTON",
"state": "MA",
"postal_code": "021282116",
"telephone_number": "617-912-7502"
}
],
"practiceLocations": [
{
"address_1": "95 Pleasant St",
"address_purpose": "LOCATION",
"city": "Lynn",
"state": "MA",
"postal_code": "019011524",
"country_code": "US",
"telephone_number": "781-581-4442",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMACHO",
"first_name": "LEEZA",
"middle_name": "ARIELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-13",
"last_updated": "2021-09-08",
"certification_date": "2021-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "lcamacho@northsuffolk.org",
"affiliation": "N",
"address_1": "14 Porter St",
"city": "East Boston",
"state": "MA",
"country_code": "US",
"postal_code": "021282116",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in East Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.