Individual provider Active NPI

Rosemarie Bell Camacho, LMHC, MFT, LCSW

  • Marriage & Family Therapist
  • Chalan Pago, GU
National Provider Identifier
1801080569
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
89 Issued in GU
Practice address
590 S Marine Corps Drive
1201 Flora Pago Lane
Chalan Pago, GU 96910
Phone
(671) 649-2081
Fax
(671) 649-2083
NPI assigned
Sep 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 89 GU Primary

Addresses

Primary practice location

590 S Marine Corps Drive
1201 Flora Pago Lane
Chalan Pago, GU 96910

Mailing address

PO Box 12621
Tamuning, GU 96931-2621
Phone (671) 727-4213

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

State licenses

LicenseStateTypeSpecialty
89GUMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1801080569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12621",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969312621",
            "telephone_number": "671-727-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 S MARINE CORPS DRIVE",
            "address_2": "1201 FLORA PAGO LANE",
            "city": "CHALAN PAGO",
            "state": "GU",
            "postal_code": "96910",
            "telephone_number": "671-649-2081",
            "fax_number": "671-649-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACHO",
        "first_name": "ROSEMARIE",
        "middle_name": "BELL",
        "name_prefix": "Mrs.",
        "credential": "LMHC, MFT, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-05",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GU",
            "license": "89",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chalan Pago, GU

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.