Eartha J Camon

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

EARTHA J CAMON

Doing business as

RUD Counseling & Psychotherapy

Practice address

3015 Medlin Dr
Suite 300
Arlington, TX 76015-2360

Phone

(817) 466-4450

Fax

(817) 423-7706

NPI assigned

Mar 2, 2011

Last updated

Mar 2, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eartha J Camon, MA, LPC-SNPI 1528094810

Title

Psychotherapist

Phone

(817) 466-4450

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• RUD Counseling & Psychotherapy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eartha J Camon, MA, LPC-S

  • Professional Counselor
  • Crowley, TX
  • NPI 1528094810
  NPD (past) Authorized official

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299024000000",
    "number": "1356649164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 MEDLIN DR",
            "address_2": "SUITE 300",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152360",
            "telephone_number": "817-466-4450",
            "fax_number": "817-423-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 MEDLIN DR",
            "address_2": "SUITE 300",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152360",
            "telephone_number": "817-466-4450",
            "fax_number": "817-423-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARTHA J CAMON",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-02",
        "last_updated": "2011-03-02",
        "status": "A",
        "authorized_official_last_name": "CAMON",
        "authorized_official_first_name": "EARTHA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "817-466-4450",
        "authorized_official_credential": "MA, LPC-S"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027934101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RUD Counseling & Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Professional Counselor in Arlington, TX
• Providers in Arlington, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; 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.