Individual provider Active NPI

Michelle Candace Martin del Campo, MA

  • Marriage & Family Therapist
  • Hollister, CA
National Provider Identifier
1992870315
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
1098 San Benito St
Hollister, CA 95023-4802
Phone
(408) 921-6380
NPI assigned
Nov 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

1098 San Benito St
Hollister, CA 95023-4802

Mailing address

1098 San Benito St
Hollister, CA 95023-4802
Phone (408) 921-6380

Other practice location 1

30 Las Colinas Ln
San Jose, CA 95119-1212
Phone (408) 282-0435

Other practice location 2

70 W Hedding St
San Jose, CA 95110-1705
Phone (408) 808-5248

Other names 1

  • Ms. Michelle Candace Martin del Campo Former name

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 May 9, 2025 through May 9, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1992870315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1098 SAN BENITO ST",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950234802",
            "telephone_number": "408-921-6380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1098 SAN BENITO ST",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950234802",
            "telephone_number": "408-921-6380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Las Colinas Ln",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951191212",
            "country_code": "US",
            "telephone_number": "408-282-0435",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 W Hedding St",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951101705",
            "country_code": "US",
            "telephone_number": "408-808-5248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN DEL CAMPO",
        "first_name": "MICHELLE",
        "middle_name": "CANDACE",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2023-05-26",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "MARTIN DEL CAMPO",
            "middle_name": "CANDACE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hollister, CA

Sources for this page

Verify at the official NPI Registry.