Individual provider Active NPI

Camille C Wingate, LPCC,LMFT

  • Counselor
  • Wakefield, RI
National Provider Identifier
1104015916
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
MHC00749 Issued in RI
Practice address
1 River St
Wakefield, RI 02879-3214
Phone
(401) 767-4100
NPI assigned
Oct 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 008861 NM
Counselor 101Y00000X MHC00749 RI Primary

Addresses

Primary practice location

1 River St
Wakefield, RI 02879-3214

Mailing address

1 River St
Wakefield, RI 02879-3214
Phone (401) 767-4100

Other practice location 1

1441 S Saint Francis Dr
Santa Fe, NM 87505-4037
Phone (505) 982-2177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240403002322 RI Practitioner - Mental Health Counselor 7214375740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thundermist Health Center 161 clinicians

Practice addresses (Care Compare)

450 Clinton St
Woonsocket, RI 02895-3207
Phone (401) 767-4100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MHC00749RIMDCounselor
008861NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thundermist Health Center CurrentSince Feb 14, 2024 Accepting new patients
Thundermist Health Center Current Accepting new patients
Thundermist Health Center CurrentSince Feb 14, 2024 Accepting new patients
Sangre de Cristo Community Health Partnership Mental Health Past Accepting new patients

Locations

1 River St
Wakefield, RI 02879
Phone (401) 783-0523

191 Social St
Woonsocket, RI 02895
Phone (401) 597-6500

25 John a Cummings Way
Ste 302
Woonsocket, RI 02895

450 Clinton St
Woonsocket, RI 02895

25 John a Cummings Way
Woonsocket, RI 02895
Phone (401) 235-7310

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DCBEAA

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1104015916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RIVER ST",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793214",
            "telephone_number": "401-767-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RIVER ST",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793214",
            "telephone_number": "401-767-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1441 S Saint Francis Dr",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875054037",
            "country_code": "US",
            "telephone_number": "505-982-2177",
            "fax_number": "505-982-0620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINGATE",
        "first_name": "CAMILLE",
        "middle_name": "C",
        "credential": "LPCC,LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-17",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "008861",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "RI",
            "license": "MHC00749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, RI

Sources for this page

Verify at the official NPI Registry.