Cameron Michael Mazziotta, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

176517 Issued in OH

Practice address

3745 Whipple Ave NW
Canton, OH 44718-4805

Phone

(330) 331-7506

NPI assigned

Oct 27, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Avo Behavioral Health LLC

  • Adult Mental Health Clinic/Center
  • Canton, OH
  • NPI 1104431410
  NPD

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1063176915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 DELAWARE TRL",
            "city": "MALVERN",
            "state": "OH",
            "postal_code": "446449502",
            "telephone_number": "330-771-3796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3745 WHIPPLE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447184805",
            "telephone_number": "330-331-7506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZIOTTA",
        "first_name": "CAMERON",
        "middle_name": "MICHAEL",
        "credential": "CDCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "176517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracie Mayles
• Sharaya Monique Mayo
• Amy Mays, L.M.T.
• Kurtis Alexander Mayz, MD
• Felicia Marie Mazzei
• Odera Mbanugo, MD
• Caroline Ngwakfi Mbobi
• Alex Sean McArthur
• Ashley Marie McAvinew, APRN
• Benjamin McAvinew, APRN

• Addiction (Substance Use Disorder) Counselor in Canton, OH
• Providers in Canton, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.