Active NPI
Brandon Cameron
- Professional Counselor
- Centennial, CO
National Provider Identifier
1356815583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0015128
- Practice address
- 7375 E Peakview Ave
Centennial, CO 80111-6701 - Phone
- (303) 325-5353
- NPI assigned
- Jan 22, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0015128 | CO | Primary |
Addresses
Primary practice location
7375 E Peakview Ave
Centennial, CO 80111-6701
Mailing address
1812 E Girard PL Apt B1513
Englewood, CO 80113-9286
Phone (303) 522-3363
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 |
|---|---|---|---|
| 0015128 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liberty Counseling PLLC | Professional | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548115200000",
"number": "1356815583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1812 E GIRARD PL APT B1513",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801139286",
"telephone_number": "303-522-3363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7375 E PEAKVIEW AVE",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801116701",
"telephone_number": "303-325-5353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMERON",
"first_name": "BRANDON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-22",
"last_updated": "2019-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "0015128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.