NPIMap

Organization Active NPI

Camden Behavioral Wellness, Inc

  • Mental Health Counselor
  • Saint Marys, GA
National Provider Identifier
1174038095
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CAMDEN BEHAVIORAL WELLNESS, INC
Practice address
88 Lindsey LN Ste C
Saint Marys, GA 31558-1725
Phone
(912) 825-8488
Fax
(912) 341-6794
NPI assigned
Dec 14, 2017
Last updated
Jan 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Authorized official

Name
Brooke Campbell, MA
Title
Office Manager
Phone
(912) 322-5791

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Psychiatry Physician 2084P0800X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X

Addresses

Primary practice location

88 Lindsey LN Ste C
Saint Marys, GA 31558-1725

Mailing address

88 Lindsey LN Ste C
Saint Marys, GA 31558-1725
Phone (912) 825-8488

Other practice location 1

605 Osborne Street
Saint Mary's, GA 31558
Phone (912) 825-8488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180731003717 GA Part B Supplier - Clinic/Group Practice 1153679618 Receives reassigned benefits from 9 practitioners
Practice locations: Saint Marys, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2286322Camden Behavioral Wellness88 Lindsey Lane, Suite C, Saint Marys, GA 31558Certificate of waiverJul 26, 2027

National Provider Directory

National Provider Directory

Locations

605 Osborne St
Saint Marys, GA 31558
Phone (912) 398-7311

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1513209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769040000000",
    "number": "1174038095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 LINDSEY LN STE C",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315581725",
            "telephone_number": "912-825-8488",
            "fax_number": "903-487-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 LINDSEY LN STE C",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315581725",
            "telephone_number": "912-825-8488",
            "fax_number": "912-341-6794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 Osborne Street",
            "address_purpose": "LOCATION",
            "city": "Saint Mary's",
            "state": "GA",
            "postal_code": "31558",
            "country_code": "US",
            "telephone_number": "912-825-8488",
            "fax_number": "912-341-6794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAMDEN BEHAVIORAL WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-14",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "912-322-5791",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.