Maria Dolores Caballero Jaime, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

014765

Practice address

3360 Route 343
Amenia, NY 12501-5619

Phone

(845) 838-7038

NPI assigned

Feb 19, 2021

Sex

Female

Sole proprietor

No

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 NY

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

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.

• Sun River Health Inc

  • Federally Qualified Health Center (FQHC)
  • Amenia, NY
  • NPI 1568526838
  Medicare reassignment NPD
• Sun River Health Inc.

  • Federally Qualified Health Center (FQHC)
  • Peekskill, NY
  • NPI 1619969458
  NPD

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1770176729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3360 ROUTE 343",
            "city": "AMENIA",
            "state": "NY",
            "postal_code": "125015619",
            "telephone_number": "845-838-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3360 ROUTE 343",
            "city": "AMENIA",
            "state": "NY",
            "postal_code": "125015619",
            "telephone_number": "845-838-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABALLERO JAIME",
        "first_name": "MARIA",
        "middle_name": "DOLORES",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-19",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "014765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amenia Pharmacy RX LLC
• Amenia Pharmacy RX LLC
• Nancy Bayersdorfer, LCSW,CSSW
• Kathleen Lile Bernard, M.D.
• Tara Camo, LMSW
• Alexandra Cernasov, DDS
• Zhi Wei Cheung, DDS
• Michele Leigh Craven, FNP-BC
• Creating Connections SLP & OT, PLLC

• Mental Health Counselor in Amenia, NY
• Providers in Amenia, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.