Active NPI
Cameron Jarrel Brackett
- Professional Counselor
- Fresno, CA
National Provider Identifier
1326631334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- APCC12210
- Practice address
- 2445 W Whites Bridge Ave
Fresno, CA 93706-1225 - Phone
- (559) 513-9003
- NPI assigned
- Feb 19, 2021
- Last updated
- Feb 18, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 12100 | CA | |
| Mental Health Counselor | 101YM0800X | 12210 | CA | |
| Professional Counselor | 101YP2500X | APCC12210 | CA | Primary |
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | APCC12210 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
2445 W Whites Bridge Ave
Fresno, CA 93706-1225
Mailing address
906 W Dakota Ave
Fresno, CA 93705-2711
Phone (559) 903-8724
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 |
|---|---|---|---|
| 12210 | CA | MD | Mental Health Counselor |
| APCC12210 | CA | MD | Mental Health Counselor |
| 12100 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Systems, Inc. | Past | Accepting new patients | |
| Mental Health Systems, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Fresno, CA
- NPI 1720745169
-
dba D.A.R.T. West
- Community/Behavioral Health Agency
- Fresno, CA
- NPI 1841813938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771372800000",
"number": "1326631334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "906 W DAKOTA AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937052711",
"telephone_number": "559-903-8724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2445 W WHITES BRIDGE AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937061225",
"telephone_number": "559-513-9003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRACKETT",
"first_name": "CAMERON",
"middle_name": "JARREL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-02-19",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "12100",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "12210",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "APCC12210",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "APCC12210",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.