Ihori Kameyama, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC004585 Issued in GA

Practice address

150 Memorial Dr.
Reidsville, GA 30453

Phone

(912) 557-6794

Fax

(912) 557-6817

NPI assigned

Nov 28, 2007

Last updated

Nov 28, 2007By the provider in NPPES

Sex

Female

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

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.

• Pineland Area Community Services Board

  dba Pineland BHDD CSB

  • Community/Behavioral Health Agency
  • Statesboro, GA
  • NPI 1588735252
  NPD (past)

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196208000000",
    "number": "1063694404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 745",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304590745",
            "telephone_number": "912-764-6906",
            "fax_number": "912-764-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MEMORIAL DR.",
            "city": "REIDSVILLE",
            "state": "GA",
            "postal_code": "30453",
            "telephone_number": "912-557-6794",
            "fax_number": "912-557-6817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMEYAMA",
        "first_name": "IHORI",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-28",
        "last_updated": "2007-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC004585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Coulter Howard, RNFA
• Catherine S Howington, A.A.
• Warren Allen James, MD
• Dana B Jones, CST, CSFA
• K-Lab and More
• Kemps Pharmacy Inc (Reidsville Pharmacy)
• Donald Franklin Kennedy Jr., M.D.
• Brady Jane Kicklighter
• Michael Lockley, CRNA
• Mark Spivey Orthopedic Clinic LLC

• Professional Counselor in Reidsville, GA
• Providers in Reidsville, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.