Individual provider Active NPI

Kristy Elaine Cameron, TLMHC

  • Mental Health Counselor
  • Cedar Rapids, IA
National Provider Identifier
1194542084
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
125262 Issued in IA
Practice address
375 Collins Rd NE Ste 16
Cedar Rapids, IA 52402-3168
Phone
(319) 361-7673
NPI assigned
Sep 23, 2024
Last updated
Sep 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 125262 IA Primary

Addresses

Primary practice location

375 Collins Rd NE Ste 16
Cedar Rapids, IA 52402-3168

Mailing address

375 Collins Rd NE Ste 16
Cedar Rapids, IA 52402-3168
Phone (319) 361-7673

Other names 1

  • Kris Cameron Professional name

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
125262IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Carol Seehusen, PHD, LMHC, LLC CurrentSince Sep 29, 2024 Accepting new patients

Locations

375 Collins Rd NE
Ste 16
Cedar Rapids, IA 52402
Phone (319) 361-7673

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1194542084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 COLLINS RD NE STE 16",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524023168",
            "telephone_number": "319-361-7673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 COLLINS RD NE STE 16",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524023168",
            "telephone_number": "319-361-7673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMERON",
        "first_name": "KRISTY",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "TLMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "125262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRIS",
            "last_name": "CAMERON",
            "credential": "TLMHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.