Individual provider Active NPI

Gayle Patrice McCamley, CP00001641

  • Addiction (Substance Use Disorder) Counselor
  • Vancouver, WA
National Provider Identifier
1114380904
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CP00001641 Issued in WA
Practice address
9105 NE Highway 99
Suite B
Vancouver, WA 98665-8961
Phone
(360) 571-4359
Fax
(360) 576-6900
NPI assigned
Mar 30, 2016
Last updated
Mar 30, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CP00001641 WA Primary

Addresses

Primary practice location

9105 NE Highway 99
Suite B
Vancouver, WA 98665-8961

Mailing address

9105 NE Highway 99
Suite B
Vancouver, WA 98665-8961
Phone (360) 571-4359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CP00001641WAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1114380904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9105 NE HIGHWAY 99",
            "address_2": "SUITE B",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658961",
            "telephone_number": "360-571-4359",
            "fax_number": "360-576-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9105 NE HIGHWAY 99",
            "address_2": "SUITE B",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658961",
            "telephone_number": "360-571-4359",
            "fax_number": "360-576-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAMLEY",
        "first_name": "GAYLE",
        "middle_name": "PATRICE",
        "name_prefix": "Ms.",
        "credential": "CP00001641",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-30",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00001641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.