Individual provider Active NPI

Leeza Arielle Camacho

  • Mental Health Counselor
  • East Boston, MA
National Provider Identifier
1619595998
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Sep 8, 2021

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

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

TypeEndpointUseAffiliation
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.

Verify at the official NPI Registry.