MRS. TANYA P. L. CARCAMO LMFT
NPI 1962797407
Marriage & Family Therapist in San Bernardino, CA

Q: What is Tanya Carcamo's NPI number?

The NPI number for Tanya Carcamo is 1962797407. It was assigned to this individual provider in the NPPES registry on June 13, 2011. The provider is also known as Ms. Tanya P. Lopez Mft-Intern.

Q: What is Tanya Carcamo's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Tanya Carcamo was last updated on December 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 13, 2011PECOS Enrolled

250 S G ST, SAN BERNARDINO, CA 92410(909) 558-4800(909) 771-2833 Get Directions Write a Review

NPPES record last updated: December 4, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 4, 2018, Dec 30, 2016, Sep 28, 2015 (3 updates tracked since 2015).

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About Mrs. Tanya P. L. Carcamo Lmft NPPES

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

MRS. TANYA P. L. CARCAMO LMFT (NPI 1962797407) is an individual marriage & family therapist in San Bernardino, California, licensed in California (87293) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Ontario.

NPPES Registry Identity

NPI1962797407

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMRS. TANYA P. L. CARCAMOCredential: LMFT

Location Address250 S G STSan Bernardino, CA 92410-3320

Mailing AddressPo Box 6183Moreno Valley, CA 92554-6183 · (951) 314-6743

Phone(909) 558-4800

Fax(909) 771-2833

Sole ProprietorYes

Enumeration DateJune 13, 2011

Last NPPES UpdateDecember 4, 20183 updates tracked since enumeration

✔ NPI 1962797407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Licenses✔ Licensed in CA · 87293✔ Licensed in CA · 67049

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

250 S G ST, San Bernardino, CA 92410

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Other Names 1

Former Name (1)Ms. Tanya P. Lopez Mft-intern

Secondary Practice Location 1

Location 1316 E E StOntario, CA 91764-3712 · Phone (909) 983-4466 · Fax (909) 983-4411

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Tanya P. L. Carcamo Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

ROBERT WILLIAM WATROUS MD

Family Medicine (Addiction Medicine)