Cynthia Jean Camburn, LMSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

M5961 Issued in MS

Practice address

421 Delmas Ave
Pascagoula, MS 39567-4136

Phone

(228) 696-9224

Fax

(228) 696-9228

NPI assigned

Sep 21, 2006

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215036801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 DELMAS AVE",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395674136",
            "telephone_number": "228-696-9224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 DELMAS AVE",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395674136",
            "telephone_number": "228-696-9224",
            "fax_number": "228-696-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMBURN",
        "first_name": "CYNTHIA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "M5961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Benjamin Burns, M.D.
• Martin Bydalek, M.D.
• Marianne Cabrera-Arroyo, BSW
• Victor Calcote, M.D.
• Venus Jeanette Callahan, FNP
• Ambrose Campbell, MD
• Katelin Caraway, DPT
• Nicholas Julius Carbajal, MD
• Susan M. Carbajal, NP
• Cardiovascular & Thoracic Surgery

• All providers in Pascagoula, MS
• Mental Health Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.