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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1104122423

Priscilla Mia Caballero, LCDC is a Mental Health Counselor in San Antonio, Texas. Qualified in 2020, 6 years ago. Practices with Camino Real Community Mhmr Center, a 19-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
6
Licensed in
TX
In the registry since
2011
Specialties on file
3
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Practice location Address checks out

12130 Alamo Ranch Pkwy Apt 2612
San Antonio, TX 78253-4010
Phone: (210) 264-1940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 204990 (TX)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 11117 (TX)
Mental Health Counselor Taxonomy 101YM0800X · Licence 95784 (TX)

Record details

NPI number1104122423
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCDC
Sole proprietorNo
NPI enumeratedFebruary 3, 2011
Last updated in NPPESMay 8, 2025
Certification dateMay 8, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Camino Real Community Mhmr Center — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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