Camisha Mechelle Hammons, CDPT

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

7610 40TH St W
University Place, WA 98466-3834

Phone

(253) 830-6242

NPI assigned

May 22, 2017

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Catholic Community Services of Western Washington

  • Community/Behavioral Health Agency
  • University Place, WA
  • NPI 1609297126
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1053848036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7610 40TH ST W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984663834",
            "telephone_number": "253-830-6242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7610 40TH ST W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984663834",
            "telephone_number": "253-830-6242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1322 3rd St SE Ste 101",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983723771",
            "country_code": "US",
            "telephone_number": "253-697-1308",
            "fax_number": "253-697-1303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9500 Front St S Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "WA",
            "postal_code": "984999415",
            "country_code": "US",
            "telephone_number": "253-584-3996 x218",
            "fax_number": "253-589-1071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMMONS",
        "first_name": "CAMISHA",
        "middle_name": "MECHELLE",
        "name_prefix": "Ms.",
        "credential": "CDPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-22",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO60519472",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CamishaH@ccsww.org",
            "affiliation": "Y",
            "affiliationName": "Catholic Community Services WW",
            "address_1": "7610 40th St W",
            "city": "University Place",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984663834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mitra Rajabi Hanjani, M.D.
• Tori Hanley

• Counselor in University Place, WA
• Providers in University Place, WA by specialty
• Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.