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SORALIS CAMACHO-IRIZARRY LPC
NPI 1124308994
Counselor - Professional in New Haven, CT

Active since August 24, 2011PECOS EnrolledAccepts Medicare Assignment
400 COLUMBUS AVE, ADULT PSYCHIATRIC CLINIC, NEW HAVEN, CT 06519(203) 503-3075(203) 503-3296 Get Directions Write a Review

NPPES record last updated: November 1, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 1, 2019, Nov 7, 2016 (2 updates tracked since 2016).

About Soralis Camacho-irizarry Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SORALIS CAMACHO-IRIZARRY LPC (NPI 1124308994) is an individual professional provider in New Haven, Connecticut, licensed in Connecticut (3142) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1124308994
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSORALIS CAMACHO-IRIZARRYCredential: LPC
Location Address400 COLUMBUS AVE, ADULT PSYCHIATRIC CLINICNew Haven, CT 06519-1233
Mailing Address400 Columbus Ave, Credentialing SpecialistNew Haven, CT 06519-1233 · (203) 503-3000 · Fax (203) 503-3183
Phone(203) 503-3075
Fax(203) 503-3296
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 24, 2011
Last NPPES UpdateNovember 1, 20192 updates tracked since enumeration
✔ NPI 1124308994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CT · 3142
400 COLUMBUS AVE, New Haven, CT 06519
Open in Google Maps ↗

Other Identifiers 1

Medicaid008071041CT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Soralis Camacho-irizarry Lpc 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.

PECOS PAC ID8325482680
PECOS Enrollment IDI20240215000355
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL B KOPANSKI BA
Counselor
400 COLUMBUS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3250
KAYLIE TOLOKAN
Social Worker
400 COLUMBUS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3174
D'AMIRA KENDRICK LPCA
Social Worker
400 COLUMBUS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3000
CLUNY GOMBAR LPC
Counselor (Professional)
400 COLUMBUS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3055
CAROLYN OLAN LMSW
Social Worker
400 COLUMBUS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3065
ALEXANDRA HIDALGO LMSW
Social Worker (Clinical)
400 COLUMBUS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3000
ROBIN GOLDBERG DENTIST
Dentist (General Practice)
400 COLUMBUS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3250
NICOLE BEALL LPC
Counselor (Professional)
400 COLUMBUS AVE, ADULT PSYCHIATRIC CLINIC
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3075

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 Soralis Camacho-irizarry's NPI number?

The NPI number for Soralis Camacho-irizarry is 1124308994. It was assigned to this individual provider in the NPPES registry on August 24, 2011.

Where is Soralis Camacho-irizarry located?

Soralis Camacho-irizarry practices at 400 Columbus Ave Adult Psychiatric Clinic, New Haven, CT 06519. The listed phone number is (203) 503-3075.

What is Soralis Camacho-irizarry's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Soralis Camacho-irizarry enrolled in Medicare?

Yes. Soralis Camacho-irizarry 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.

When was this NPI record last updated?

The NPPES record for Soralis Camacho-irizarry was last updated on November 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.