Camille Bolton, LLPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178.015370 Issued in IL

Practice address

168 Hamilton Rd
Bloomfield Hills, MI 48301-2540

Phone

(248) 648-0970

NPI assigned

Apr 6, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Center for Behavioral Medicine, LTD

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1225377294
  NPD

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1225667728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 HAMILTON RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483012540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 HAMILTON RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483012540",
            "telephone_number": "248-648-0970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 E Washington St Ste 1025",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606021710",
            "country_code": "US",
            "telephone_number": "312-569-0285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLTON",
        "first_name": "CAMILLE",
        "credential": "LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-06",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401018541",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.015370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bloomfield Vein & Vascular PLLC
• Christian Bogner, M.D.
• Paul J Bohdiewicz, MD
• Kristen Lee Boike, MS, LPC
• Boloms Transport Services, LLC
• Bonne Sante Compounding Pharmacy LLC
• Kalsey Boots
• Lauren Borg, RD
• Edward Anthony Borio, DDS
• George Edward Bork, DDS

• Mental Health Counselor in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.