Camille Rose Palombo, M.ED, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC01133 Issued in NJ

Practice address

901 Old Marlton Pike W
Executive BLD
Marlton, NJ 08053-2080

Phone

(609) 953-4769

Fax

(609) 654-6218

NPI assigned

Mar 22, 2007

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

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104942937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 GRAVELLY HOLLOW RD",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080558465",
            "telephone_number": "609-654-4825",
            "fax_number": "609-654-6218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 OLD MARLTON PIKE W",
            "address_2": "EXECUTIVE BLD",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532080",
            "telephone_number": "609-953-4769",
            "fax_number": "609-654-6218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALOMBO",
        "first_name": "CAMILLE",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "M.ED, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "PC01133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enrico Pace, MD
• Gary S Packin, D.O.
• Maitri N Padiya, APN
• Vincent M Padula, DO
• Kim Marie Palermo, DO
• Lisa Palovick, CRNA
• Patricia Palumbo, MA LPC
• Daud Panah, MD
• Dhiraj Panda, MD
• Nicole Panjwani, APN

• Professional Counselor in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Professional Counselor in New Jersey

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