Benjamin Robert Camargo, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC00464400 Issued in NJ

Practice address

611 Route 46 West
Suite 100
Hasbrouck Heights, NJ 07604

Phone

(201) 265-8200

Fax

(201) 478-4185

NPI assigned

Apr 2, 2019

Last updated

Apr 2, 2019By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1942762737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 ROUTE 46 WEST",
            "address_2": "SUITE 100",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "07604",
            "telephone_number": "201-265-8200",
            "fax_number": "201-478-4185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 ROUTE 46 WEST",
            "address_2": "SUITE 100",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "07604",
            "telephone_number": "201-265-8200",
            "fax_number": "201-478-4185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 Valley Health Plz",
            "address_purpose": "LOCATION",
            "city": "Paramus",
            "state": "NJ",
            "postal_code": "076523607",
            "country_code": "US",
            "telephone_number": "201-265-8200 x5255",
            "fax_number": "201-478-4185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMARGO",
        "first_name": "BENJAMIN",
        "middle_name": "ROBERT",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-02",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00464400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Hasbrouck Heights, NJ
• Providers in Hasbrouck Heights, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; 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.