Individual provider Active NPI

Tarah Channan Cambron, LPC-INTERN

  • Mental Health Counselor
  • Conroe, TX
National Provider Identifier
1952928103
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
81510 Issued in TX
Practice address
15860 Old Conroe Rd
Conroe, TX 77384-3485
Phone
(713) 249-1793
NPI assigned
Jul 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 81510 TX Primary

Addresses

Primary practice location

15860 Old Conroe Rd
Conroe, TX 77384-3485

Mailing address

20103 Indigo Lake Dr
Magnolia, TX 77355-4130
Phone (713) 249-1793

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Mar 27, 2026 through Mar 27, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
81510TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cambron Counseling CurrentSince Oct 25, 2020 Accepting new patients

Locations

33300 Egypt Ln
Ste K900
Magnolia, TX 77354
Phone (832) 585-3656

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1952928103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20103 INDIGO LAKE DR",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773554130",
            "telephone_number": "713-249-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15860 OLD CONROE RD",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773843485",
            "telephone_number": "713-249-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMBRON",
        "first_name": "TARAH",
        "middle_name": "CHANNAN",
        "credential": "LPC-INTERN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-02",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "81510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.