Active NPI
Jessica Raena Camano, LPC
- Professional Counselor
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 20850
- Practice address
- 3105 E Fairmount Ave
Phoenix, AZ 85016-6906 - Phone
- (602) 808-2816
- Fax
- (602) 808-2716
- NPI assigned
- Nov 13, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 20850 | AZ | Primary |
Addresses
Primary practice location
3105 E Fairmount Ave
Phoenix, AZ 85016-6906
Mailing address
16251 N Cave Creek Rd
Phoenix, AZ 85032-2976
Phone (480) 882-4545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16251 N Cave Creek Rd
Phoenix, AZ 85032-2976
Phone (480) 882-4545
9015 N 3Rd St
Phoenix, AZ 85020-2444
Phone (480) 882-4545
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20850 | AZ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborhood Outreach Access to Health | Current | Accepting new patients | |
| Neighborhood Outreach Access to Health | Mental Health | Current | Accepting new patients |
Locations
11851 N 51st Ave
Ste B110
Glendale, AZ 85304
11851 N 51st Ave
Ste F140
Glendale, AZ 85304
Phone (623) 428-0001
9015 N 3rd St
Phoenix, AZ 85020
7500 N Dreamy Draw Dr
Ste 145
Phoenix, AZ 85020
20440 N 27th Ave
Phoenix, AZ 85027
4131 N 24th St
Ste B102
Phoenix, AZ 85016
Phone (602) 955-6632
16251 N Cave Creek Rd
Phoenix, AZ 85032
8705 E McDowell Rd
Scottsdale, AZ 85257
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Scottsdale, AZ
- NPI 1942518550
Mental Health
-
- Federally Qualified Health Center (FQHC)
- Glendale, AZ
- NPI 1326731555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760659200000",
"number": "1831595206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16251 N CAVE CREEK RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850322976",
"telephone_number": "480-882-4545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3105 E FAIRMOUNT AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850166906",
"telephone_number": "602-808-2816",
"fax_number": "602-808-2716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMANO",
"first_name": "JESSICA",
"middle_name": "RAENA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-13",
"last_updated": "2025-10-17",
"certification_date": "2025-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "20850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.