NPIMap

Organization Active NPI

Stephanie Camacho, Ma, LPC, LLC

  • Mental Health Counselor
  • Edmond, OK
National Provider Identifier
1679969034
Registry record updated Apr 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5671 Issued in OK
Legal business name
STEPHANIE CAMACHO, MA, LPC, LLC
Practice address
2529 S Kelly Ave
Suite C
Edmond, OK 73013-2966
Phone
(405) 974-1224
Fax
(405) 979-8328
NPI assigned
Apr 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2015

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

Authorized official

Name
Stephanie Camacho, LPCNPI 1497005169
Title
Licensed Professional Counselor
Phone
(405) 974-1224

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 5671 OK Primary

Addresses

Primary practice location

2529 S Kelly Ave
Suite C
Edmond, OK 73013-2966

Mailing address

4404 N Libby Ave
Warr Acres, OK 73122-4405
Phone (405) 974-1224

Other names 1

  • Stephanie Camacho, LPC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1679969034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4404 N LIBBY AVE",
            "city": "WARR ACRES",
            "state": "OK",
            "postal_code": "731224405",
            "telephone_number": "405-974-1224",
            "fax_number": "405-979-8328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2529 S KELLY AVE",
            "address_2": "SUITE C",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730132966",
            "telephone_number": "405-974-1224",
            "fax_number": "405-979-8328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE CAMACHO, MA, LPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "CAMACHO",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "405-974-1224",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "5671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephanie Camacho, LPC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.