Active NPI
Camille Lauren Arth Boccio, LCSW
- Mental Health Counselor
- East Aurora, NY
National Provider Identifier
1285223511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 102729
- Practice address
- 730 Olean Rd
East Aurora, NY 14052-9781 - Phone
- (716) 240-2220
- NPI assigned
- Jan 12, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 102729 | NY | |
| Case Manager/Care Coordinator | 171M00000X | 102729 | NY | |
| Mental Health Counselor | 101YM0800X | 102729 | NY | Primary |
Addresses
Primary practice location
730 Olean Rd
East Aurora, NY 14052-9781
Mailing address
730 Olean Rd
East Aurora, NY 14052-9781
Phone (716) 240-2220
Other names 1
- Camille Lauren Arth
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 |
|---|---|---|---|
| 102729 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Rural Outreach Center, Inc. | Current | Accepting new patients |
Locations
730 Olean Rd
East Aurora, NY 14052
Phone 7162402220 ext. 103
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.
-
dba The Rural Outreach Center
- Community/Behavioral Health Agency
- East Aurora, NY
- NPI 1891311965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622505600000",
"number": "1285223511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 OLEAN RD",
"city": "EAST AURORA",
"state": "NY",
"postal_code": "140529781",
"telephone_number": "716-240-2220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 OLEAN RD",
"city": "EAST AURORA",
"state": "NY",
"postal_code": "140529781",
"telephone_number": "716-240-2220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARTH BOCCIO",
"first_name": "CAMILLE",
"middle_name": "LAUREN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-12",
"last_updated": "2021-06-01",
"certification_date": "2021-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "102729",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NY",
"license": "102729",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "102729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAMILLE",
"last_name": "ARTH",
"middle_name": "LAUREN",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in East Aurora, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.