Camille T Brown

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

170 Wilkerson Ave
Perris, CA 92570-2200

Phone

(951) 345-1193

NPI assigned

May 7, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557187200000",
    "number": "1336704097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 WILKERSON AVE",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925702200",
            "telephone_number": "951-345-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 WILKERSON AVE",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925702200",
            "telephone_number": "951-345-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CAMILLE",
        "middle_name": "T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-07",
        "last_updated": "2019-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathon Michael Brewer
• Bridge 2 Life - El Nido, LLC
• Bridge 2 Life Healthcare, Inc.
• Bridge 2 Life-Addison, LLC (Panda Way)
• Kelli Brower, LCSW
• Nikisha Simone Brown, LCSW
• Rahsheeda Brown, LVN
• Raven Deshay Brown
• Saskia Echavez Browning, M.S.
• Tameka Bruner

• Counselor in Perris, CA
• Providers in Perris, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; 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.