Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Juan Camacho

Individual provider Rehabilitation Counselor · NPI 1417554890

Juan Camacho is a Mental Health Counselor in Dallas, Texas. Qualified in 2015, 11 years ago. Practices as a sole proprietor.

Years since qualifying
11
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

17740 Preston Rd Ste 100C
Dallas, TX 75252-5827
Phone: (469) 623-7100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Rehabilitation Counselor Taxonomy 225C00000X

Record details

NPI number1417554890
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 8, 2020
Last updated in NPPESOctober 8, 2020
Certification dateOctober 8, 2020
Mailing addressPo Box 260921, Plano, TX 75026-0921

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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