Individual provider Active NPI

Rene Enrique Camacho- Cordoba

  • Clinical Social Worker
  • Boca Raton, FL
National Provider Identifier
1962740027
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
MH16257 Issued in FL
Practice address
8000 N Federal Hwy Ste 4010
Boca Raton, FL 33487-1680
Phone
(954) 605-2851
NPI assigned
Jan 24, 2013
Last updated
Mar 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 16892 NY
Mental Health Counselor 101YM0800X 004022 NY
Mental Health Counselor 101YM0800X MH16257 FL
Clinical Social Worker 1041C0700X MH16257 FL Primary

Addresses

Primary practice location

8000 N Federal Hwy Ste 4010
Boca Raton, FL 33487-1680

Mailing address

8000 N Federal Hwy Ste 4010
Boca Raton, FL 33487-1680
Phone (954) 605-2851

Other names 1

  • Mr. Rene Enrique Camacho-Cordoba Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250514002941 FL Practitioner - Mental Health Counselor 6901324896 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Balanced Wellbeing LLCGroup PAC ID 5193021848, 228 clinicians
A and B Counseling Services LLCGroup PAC ID 6103152269, 73 clinicians

Practice addresses (Care Compare)

3200 SW 34TH Ave
Suite 701
Ocala, FL 34474-8443
Phone (877) 779-2429

3356 Laurel Oak St
Fort Lauderdale, FL 33312-6396
Phone (954) 533-2306

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16892NYMDAddiction (Substance Use Disorder) Counselor
MH16257FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Balanced Wellbeing LLC Clinical CurrentSince May 30, 2025 Accepting new patients
A & B Counseling Services LLC CurrentSince May 9, 2025 Accepting new patients
Coren Holistic Self Care LLC Mental Health Current Accepting new patients
A & B Counseling LLC PastSince May 9, 2025 Accepting new patients

Locations

8000 N Federal Hwy
Ste 4010
Boca Raton, FL 33487
Phone (954) 605-2851

3200 SW 34th Ave
Ste 701
Ocala, FL 34474
Phone (354) 445-1200

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: renecamachocordoba@tdh.allscriptsdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1962740027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 N FEDERAL HWY STE 4010",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871680",
            "telephone_number": "954-605-2851",
            "fax_number": "516-849-7454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 N FEDERAL HWY STE 4010",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871680",
            "telephone_number": "954-605-2851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACHO- CORDOBA",
        "first_name": "RENE",
        "middle_name": "ENRIQUE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-24",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "16892",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "004022",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH16257",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "MH16257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENE",
            "last_name": "CAMACHO-CORDOBA",
            "middle_name": "ENRIQUE",
            "prefix": "MR.",
            "credential": "LMHC, CASAC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.