Active NPI
Leticia Campos
- Mental Health Counselor
- San Bernardino, CA
National Provider Identifier
1801674734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 14643
- Practice address
- 900 E Gilbert St
San Bernardino, CA 92415-5355 - Phone
- (909) 387-7036
- NPI assigned
- Sep 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 14643 | CA | Primary |
| Professional Counselor | 101YP2500X | 14643 | CA |
Addresses
Primary practice location
900 E Gilbert St
San Bernardino, CA 92415-5355
Mailing address
PO Box 1572
Rialto, CA 92377-1572
Other practice location 1
1820 University Ave
Riverside, CA 92507-5355
Phone (800) 499-3008
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": "1695168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736899200000",
"number": "1801674734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1572",
"city": "RIALTO",
"state": "CA",
"postal_code": "923771572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 E GILBERT ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924155355",
"telephone_number": "909-387-7036"
}
],
"practiceLocations": [
{
"address_1": "1820 University Ave",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925075355",
"country_code": "US",
"telephone_number": "800-499-3008",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPOS",
"first_name": "LETICIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-20",
"last_updated": "2025-01-15",
"certification_date": "2025-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "14643",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "14643",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.