NPIMap

Organization Active NPI

Camino Real Community Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lytle, TX
National Provider Identifier
1891885901
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CAMINO REAL COMMUNITY SERVICES
Doing business as
Camino Real Community Services
Practice address
19965 FM 3175 N
Lytle, TX 78052
Phone
(210) 357-0300
Fax
(855) 240-1374
NPI assigned
Oct 13, 2006
Last updated
Mar 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Authorized official

Name
Andrea Corona
Title
Reimbursement/Credentialing Spec
Phone
(210) 357-0369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

19965 FM 3175 N
Lytle, TX 78052

Mailing address

PO Box 725
Lytle, TX 78052-0725
Phone (210) 357-0300

Other identifiers 1

IdentifierTypeStateIssuer
121990903MedicaidTX

Other names 1

  • CAMINO REAL COMMUNITY SERVICES Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Camino Real Community MHMR Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1891885901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 725",
            "city": "LYTLE",
            "state": "TX",
            "postal_code": "780520725",
            "telephone_number": "210-357-0300",
            "fax_number": "855-240-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19965 FM 3175 N",
            "city": "LYTLE",
            "state": "TX",
            "postal_code": "78052",
            "telephone_number": "210-357-0300",
            "fax_number": "855-240-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMINO REAL COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "CORONA",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "REIMBURSEMENT/CREDENTIALING SPEC",
        "authorized_official_telephone_number": "210-357-0369"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121990903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAMINO REAL COMMUNITY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lytle, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.