JUAN CAMACHO
NPI 1417554890
Counselor - Professional in Dallas, TX

Active since October 08, 2020PECOS Enrolled
17740 PRESTON RD STE 100C, DALLAS, TX 75252(469) 623-7100 Get Directions Write a Review

NPPES record last updated: October 8, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Juan Camacho NPPES

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

JUAN CAMACHO (NPI 1417554890) is an individual professional provider in Dallas, Texas and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1417554890
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJUAN CAMACHO
Location Address17740 PRESTON RD STE 100CDallas, TX 75252-5827
Mailing AddressPo Box 260921Plano, TX 75026-0921 · (214) 725-6276
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 8, 2020
NPPES CertifiedOctober 8, 2020
✔ NPI 1417554890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedRehabilitation CounselorTaxonomy 225C00000X
17740 PRESTON RD STE 100C, Dallas, TX 75252

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Juan Camacho is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426512591
PECOS Enrollment IDI20260709002424
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.

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 Juan Camacho's NPI number?

The NPI number for Juan Camacho is 1417554890. It was assigned to this individual provider in the NPPES registry on October 8, 2020.

Where is Juan Camacho located?

Juan Camacho practices at 17740 Preston Rd Ste 100C, Dallas, TX 75252. The listed phone number is (469) 623-7100.

What is Juan Camacho's specialty?

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

Is Juan Camacho enrolled in Medicare?

Yes. Juan Camacho is registered in the Medicare PECOS enrollment system.

What insurance does Juan Camacho accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and UnitedHealthcare list Juan 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 Juan Camacho was last updated on October 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.