Individual provider Active NPI

Camille Lauren Arth Boccio, LCSW

  • Mental Health Counselor
  • East Aurora, NY
National Provider Identifier
1285223511
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
102729 Issued in NY
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

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former 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
102729NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Rural Outreach Center, Inc. CurrentSince Jan 17, 2021 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.

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.

Verify at the official NPI Registry.