Active NPI
Cameron Lane Hollingsworth, M.A.
- Counselor
- Norman, OK
National Provider Identifier
1184816480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 4485
- Practice address
- 2911 Adams Rd Ste 101
Norman, OK 73069-1023 - Phone
- (405) 310-3735
- Fax
- (405) 310-3576
- NPI assigned
- Aug 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1017 | OK | |
| Counselor | 101Y00000X | 4485 | OK | Primary |
Addresses
Primary practice location
2911 Adams Rd Ste 101
Norman, OK 73069-1023
Mailing address
2911 Adams Rd Ste 101
Norman, OK 73069-1023
Phone (405) 310-3735
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
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Health and Wellness Center LLC | Counselor | Current | Accepting new patients |
Locations
2770 Washington Dr
Ste 100
Norman, OK 73069
Phone (405) 310-3735
2911 Adams Rd
Norman, OK 73069
2911 Adams Rd
#101
Norman, OK 73069
Phone (405) 310-3735
Organizations & group practices 1
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": "1186704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707091200000",
"number": "1184816480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2911 ADAMS RD STE 101",
"city": "NORMAN",
"state": "OK",
"postal_code": "730691023",
"telephone_number": "405-310-3735",
"fax_number": "405-310-3576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2911 ADAMS RD STE 101",
"city": "NORMAN",
"state": "OK",
"postal_code": "730691023",
"telephone_number": "405-310-3735",
"fax_number": "405-310-3576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLINGSWORTH",
"first_name": "CAMERON",
"middle_name": "LANE",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-10",
"last_updated": "2024-02-05",
"certification_date": "2024-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OK",
"license": "1017",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OK",
"license": "4485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.