Active NPI
Carmen Joan Camelon, LPC
- Professional Counselor
- Virginia Beach, VA
National Provider Identifier
1255583068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701004418
- Practice address
- 184 Business Park Dr
Ste 200
Virginia Beach, VA 23462-6533 - Phone
- (757) 466-3336
- Fax
- (757) 455-5750
- NPI assigned
- Oct 13, 2008
- Last updated
- Oct 19, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701004418 | VA | Primary |
Addresses
Primary practice location
184 Business Park Dr
Ste 200
Virginia Beach, VA 23462-6533
Mailing address
184 Business Park Dr
Suite 200
Virginia Beach, VA 23462-6533
Phone (757) 466-3336
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0701004418 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eden Counseling Center | Past | Accepting new patients |
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224374400000",
"number": "1255583068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "184 BUSINESS PARK DR",
"address_2": "SUITE 200",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234626533",
"telephone_number": "757-466-3336",
"fax_number": "757-455-5750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "184 BUSINESS PARK DR",
"address_2": "STE 200",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234626533",
"telephone_number": "757-466-3336",
"fax_number": "757-455-5750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMELON",
"first_name": "CARMEN",
"middle_name": "JOAN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-13",
"last_updated": "2008-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701004418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.