MEDICARE: CAMINO RESTORATIVE COUNSELING, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1669329819
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAMINO RESTORATIVE COUNSELING, PLLC

Provider Business Mailing Address
First Line	:	5900 BALCONES DR # 30194
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78731-4257
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	13615 STARWREATH DR
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-3784
Country	:	US
Telephone Number	:	281-827-2780
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JILLIAN C VOGEL
Credential	:	LCSW-S
Telephone Number	:	281-827-2780

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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