Camilla J Pearson-Cafferty, LCPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LCPC-4254 Issued in ID

Practice address

1910 N Lakes Place
Meridian, ID 83646-5939

Phone

(208) 342-2273

Fax

(208) 893-5484

NPI assigned

Jan 4, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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 and National Provider Directory roles.

• Serenity Neuropsychology, PLLC

  • Clinical Neuropsychologist
  • Meridian, ID
  • NPI 1285815399
  NPD (past)
• Strive Counseling Inc.

  • Clinical Social Worker
  • Nampa, ID
  • NPI 1043515133
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270684800000",
    "number": "1063569796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 N LAKES PLACE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465939",
            "telephone_number": "208-342-2273",
            "fax_number": "208-893-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 N LAKES PLACE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465939",
            "telephone_number": "208-342-2273",
            "fax_number": "208-893-5484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON-CAFFERTY",
        "first_name": "CAMILLA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2010-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC-3619",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ID",
            "license": "LCPC-4254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Nicole Paxman, BSN, RN
• Michael D. Payne, D.M.D., P.C.
• Peace Within Counseling LLC
• Madison Elizabeth Peach-Keen, PHARMD
• Katy Pearce
• David Hyrum Pearson, PH.D., LMFT
• Raquel Pearson
• Brian Peck, LMSW
• Sarah Pedersen, PT
• Lia Lynne Pele, FNP-C

• Counselor in Meridian, ID
• Providers in Meridian, ID by specialty
• Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2010; 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.