DYLAN CAMACHO LPCC
NPI 1417440884
Counselor - Professional in Bowling Green, KY

Active since June 11, 2018
1900 SMALLHOUSE RD, BOWLING GREEN, KY 42104(270) 303-5292(270) 596-0837 Get Directions Write a Review

NPPES record last updated: June 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2020, Jun 11, 2018 (2 updates tracked since 2018).

About Dylan Camacho Lpcc NPPES

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

DYLAN CAMACHO LPCC (NPI 1417440884) is an individual professional provider in Bowling Green, Kentucky, licensed in Kentucky (263107) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1417440884
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDYLAN CAMACHOCredential: LPCC
Location Address1900 SMALLHOUSE RDBowling Green, KY 42104-3270
Mailing Address380 Suwannee Trail StBowling Green, KY 42103-7956 · (270) 901-5000 · Fax (270) 842-5268
Fax(270) 596-0837
Sole ProprietorNo
Enumeration DateJune 11, 2018
Last NPPES UpdateJune 21, 20222 updates tracked since enumeration
NPPES CertifiedJune 21, 2022
NPI 1417440884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in KY · 263107
Also ListedCounselorTaxonomy 101Y00000X · License 173714 (KY)
1900 SMALLHOUSE RD, Bowling Green, KY 42104

Other Identifiers 1

Medicaid30604011KY

Accepted Insurance

Other Providers at the Same Location NPPES

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

Counselor (Professional)
1900 SMALLHOUSE RD
BOWLING GREEN, KY 42104

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 Dylan Camacho's NPI number?

The NPI number for Dylan Camacho is 1417440884. It was assigned to this individual provider in the NPPES registry on June 11, 2018.

Where is Dylan Camacho located?

Dylan Camacho practices at 1900 Smallhouse Rd, Bowling Green, KY 42104. The listed phone number is (270) 303-5292.

What is Dylan Camacho's specialty?

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

What insurance does Dylan Camacho accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 1 other insurer list Dylan Camacho 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 Dylan Camacho was last updated on June 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.