Organization Active NPI

Campos Mental Health Counseling, PLLC

  • Mental Health Counselor
  • Ballston Lake, NY
National Provider Identifier
1952108409
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CAMPOS MENTAL HEALTH COUNSELING, PLLC
Practice address
315 Ushers Rd Ste 210
Ballston Lake, NY 12019-1555
Phone
(347) 251-2834
Fax
(929) 322-9200
NPI assigned
Mar 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Authorized official

Name
Mrs. Julissa Martinez, LMHC-D, NCC, CASACNPI 1932540663
Title
Owner
Phone
(347) 251-2834

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X

Addresses

Primary practice location

315 Ushers Rd Ste 210
Ballston Lake, NY 12019-1555

Mailing address

315 Ushers Rd Ste 210
Ballston Lake, NY 12019-1555
Phone (347) 251-2834

National Provider Directory

National Provider Directory

Locations

315 Ushers Rd
Ste 210
Ballston Lake, NY 12019
Phone (347) 251-2834

636 Plank Rd
Ste 111
Clifton Park, NY 12065
Phone (518) 383-3356

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1952108409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 USHERS RD STE 210",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "120191555",
            "telephone_number": "347-251-2834",
            "fax_number": "929-322-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 USHERS RD STE 210",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "120191555",
            "telephone_number": "347-251-2834",
            "fax_number": "929-322-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPOS MENTAL HEALTH COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "JULISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-251-2834",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC-D, NCC, CASAC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballston Lake, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.

Verify at the official NPI Registry.