Individual provider Active NPI

Daphne Camille, LPC

  • Professional Counselor
  • Freehold, NJ
National Provider Identifier
1295391902
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00858800 Issued in NJ
Practice address
3499 Rte 9 Ste 2C
Freehold, NJ 07728-3277
Phone
(732) 982-2888
Fax
(847) 859-5885
NPI assigned
May 17, 2019
Last updated
Sep 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00858800 NJ Primary

Addresses

Primary practice location

3499 Rte 9 Ste 2C
Freehold, NJ 07728-3277

Mailing address

3499 Rte 9 Ste 2C
Freehold, NJ 07728-3277
Phone (630) 884-9012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240425000618 NJ Practitioner - Mental Health Counselor 3779933791 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stress Care of New Jersey, LLCGroup PAC ID 5294864575, 48 clinicians

Practice addresses (Care Compare)

500 Park Ave
Manalapan, NJ 07726-8375
Phone (732) 679-4500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stress Care of New Jersey, LLC CurrentSince Jan 1, 2024 Accepting new patients
New Jersey Behavioral Health P.C CurrentSince Apr 1, 2025 Accepting new patients
Stress Care of New Jersey, LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

74 Brick Blvd
Ste 117
Brick, NJ 08723
Phone (732) 902-9050

3499 Route 9 N
Ste 2C
Freehold, NJ 07728

500 Craig Rd
Ste 102
Manalapan, NJ 07726
Phone (848) 391-1325

500 Park Ave
Manalapan, NJ 07726
Phone (732) 679-4500

4122 Route 516
Matawan, NJ 07747
Phone (732) 679-4500

61 Veronica Ave
Somerset, NJ 08873
Phone (732) 679-4500

88 Princeton Hightstown Rd
Ste 202
West Windsor, NJ 08550
Phone (609) 497-3300

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.daphnecamille@148376.advancedmd-direct.com

Organizations & group practices 3

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": "1558051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1295391902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3499 RTE 9 STE 2C",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077283277",
            "telephone_number": "630-884-9012",
            "fax_number": "732-694-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3499 RTE 9 STE 2C",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077283277",
            "telephone_number": "732-982-2888",
            "fax_number": "847-859-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMILLE",
        "first_name": "DAPHNE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-17",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00858800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.