Rosa Maria Camarillo

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC008630 Issued in GA

Practice address

3883 Rogers Bridge Rd
Duluth, GA 30097

Phone

(678) 392-1302

NPI assigned

Aug 10, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Counseling Services of Atlanta, LLC

  • Professional Counselor
  • Marietta, GA
  • NPI 1508271024
  Medicare reassignment NPD

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

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1700365772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5835 SOMERSBY CIR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054308",
            "telephone_number": "770-744-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3883 ROGERS BRIDGE RD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "30097",
            "telephone_number": "678-392-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMARILLO",
        "first_name": "ROSA",
        "middle_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-10",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC008630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Louis Caldwell Jr., NP
• Julia Callahan, MS, RD, LD
• Devan Callaway, D.M.D.
• Jalyn Calloway
• Mariam Camara
• Zachary Allen Cammarano, PT, DPT
• Brittney Monet Campbell
• Curtrina Monique Campbell
• Jaronda Shanasha Campbell
• Julia Y Campbell, MD

• Professional Counselor in Duluth, GA
• Providers in Duluth, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.