Camellia Collective LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

CAMELLIA COLLECTIVE LLC

Practice address

146 Pike Hollow Rd
Stratton, VT 05360-9756

Phone

(609) 203-5389

NPI assigned

Sep 30, 2025

Last updated

Sep 30, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miya WilsonNPI 1508642992

Title

Owner

Phone

(609) 203-5389

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Miya Wilson

  • Speech-Language Pathologist
  • Stratton, VT
  • NPI 1508642992
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1759190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1083588503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 363",
            "city": "WEST WARDSBORO",
            "state": "VT",
            "postal_code": "053600363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 PIKE HOLLOW RD",
            "city": "STRATTON",
            "state": "VT",
            "postal_code": "053609756",
            "telephone_number": "609-203-5389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMELLIA COLLECTIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-30",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "MIYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-203-5389"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Siobhan Eddy Young, P.T.
• Miya Wilson

• Speech-Language Pathologist in Stratton, VT
• Providers in Stratton, VT by specialty
• Speech-Language Pathologist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.