Active NPI
Camilla Mason
- Mental Health Counselor
- Lutz, FL
National Provider Identifier
1356173405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMH25614
- Practice address
- 18703 N Dale Mabry Hwy
Lutz, FL 33548-4979 - Phone
- (813) 694-2938
- NPI assigned
- Aug 16, 2024
- Last updated
- Aug 16, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMH25614 | FL | Primary |
Addresses
Primary practice location
18703 N Dale Mabry Hwy
Lutz, FL 33548-4979
Mailing address
17289 Hackberry SQ Apt 319
Land O Lakes, FL 34638-6359
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 |
|---|---|---|---|
| IMH25614 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723766400000",
"number": "1356173405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17289 HACKBERRY SQ APT 319",
"city": "LAND O LAKES",
"state": "FL",
"postal_code": "346386359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18703 N DALE MABRY HWY",
"city": "LUTZ",
"state": "FL",
"postal_code": "335484979",
"telephone_number": "813-694-2938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON",
"first_name": "CAMILLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-16",
"last_updated": "2024-08-16",
"certification_date": "2024-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMH25614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lutz, FL
- Brigitte Marie Martinez, APRN, FNP-C
- Pamela Mae Martinez, MD
- Martis Legacy Holdings Inc. (Always Best Care)
- Tracy Marx-Renner, LPN
- Shivika Sunil Maskara
- Massage by Joyce, LLC (Therapeutic Massage and Pain Relief Center)
- Massage Point, LLC (Elite Sports Massage and Rehab)
- Laura Massey, MS, CCC-SLP
- Mastering Mental Health LLC
- Wendy J Masterman, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.