PRISCILLA MIA CABALLERO LCDC
NPI 1104122423
Counselor - Professional in San Antonio, TX
About Priscilla Mia Caballero Lcdc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRISCILLA MIA CABALLERO LCDC (NPI 1104122423) is an individual professional provider in San Antonio, Texas, licensed in Texas (204990) and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Priscilla Mia Caballero Lcdc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Priscilla Caballero reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lytle, TX 78052
- Reassigned Medicare billing, Texas enrollment
- 152 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Priscilla Caballero's NPI number?
The NPI number for Priscilla Caballero is 1104122423. It was assigned to this individual provider in the NPPES registry on February 3, 2011. The provider is also known as Priscilla Mia Caballero Lmft, Lcdc, Lpc Asso.
Where is Priscilla Caballero located?
Priscilla Caballero practices at 12130 Alamo Ranch Pkwy Apt 2612, San Antonio, TX 78253. The listed phone number is (210) 264-1940.
What is Priscilla Caballero's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Priscilla Caballero enrolled in Medicare?
Yes. Priscilla Caballero is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Priscilla Caballero's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Priscilla Caballero reassigns Medicare benefits to Camino Real Community Mhmr Center (Lytle, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Priscilla Caballero's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Priscilla Caballero accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Priscilla Caballero as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Priscilla Caballero was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Priscilla Mia Caballero, LCDC · NPI 1104122423
Professional provider in San Antonio, Texas. Individual provider, active in the CMS NPPES registry since February 3, 2011.
## Identity
- **NPI:** 1104122423 (Entity type: Individual)
- **Enumerated:** February 3, 2011
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 204990 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 12130 ALAMO RANCH PKWY APT 2612, San Antonio, TX 78253-4010
- **Phone:** (210) 264-1940
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Camino Real Community Mhmr Center (NPI 1154411262, Lytle, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** May 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104122423) · Data from the CMS NPPES public registry.