Lourdes Camacho, LPC | |
10921 Xanadu St, Commerce City, CO 80022-6254 | |
(970) 703-4678 | |
Not Available |
Full Name | Lourdes Camacho |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 10921 Xanadu St, Commerce City, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386040160 | NPI | - | NPPES |
9000152600 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | LPC.0013836 (Colorado) | Primary |
Entity Name | Camacho Counseling Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417790858 PECOS PAC ID: 4082159736 Enrollment ID: O20240717003073 |
Mailing Address | Practice Location Address |
---|---|
Lourdes Camacho, LPC 10921 Xanadu St, Commerce City, CO 80022-6254 Ph: (303) 847-1653 | Lourdes Camacho, LPC 10921 Xanadu St, Commerce City, CO 80022-6254 Ph: (970) 703-4678 |
Mallori Kenworthy, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 10093 Salida St, Commerce City, CO 80022 Phone: 720-939-8477 | |
Mr. Kenneth Charles Sawyer Iv, CAC II, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 7373 Birch St, Commerce City, CO 80022 Phone: 303-412-3945 Fax: 303-412-3381 | |
Mary Brittain, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13659 E 104th Ave Unit 800, Commerce City, CO 80022 Phone: 720-520-7755 | |
David Steven Hughes, RN Counselor Medicare: Not Enrolled in Medicare Practice Location: 4371 E 72nd Ave, Commerce City, CO 80022 Phone: 303-853-3807 Fax: 303-289-6962 | |
Mr. Jon Rhodes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6332 E 72nd Ave, Commerce City, CO 80022 Phone: 303-287-4106 Fax: 303-287-1954 | |
Autumn Michelle Washington, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14832 E 119th Ave, Commerce City, CO 80603 Phone: 303-521-7627 | |
Erica Heather Roush, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4371 E 72nd Ave, Commerce City, CO 80022 Phone: 303-482-7862 |