Individual provider Active NPI

Cameron Lane Hollingsworth, M.A.

  • Counselor
  • Norman, OK
National Provider Identifier
1184816480
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
4485 Issued in OK
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

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
Summit Health and Wellness Center LLC Counselor CurrentSince Apr 1, 2021 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.

Verify at the official NPI Registry.