Cameron Mental Health Therapy & Supportive Services, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CAMERON MENTAL HEALTH THERAPY & SUPPORTIVE SERVICES, LLC

Practice address

1583 Montvale Cir
West Chester, PA 19380-1560

Phone

(717) 575-5902

NPI assigned

Oct 13, 2022

Organization subpart

No

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

Authorized official

Name

Lisa Cameron, MA, LPCNPI 1174080394

Title

Owner/Primary Therapist

Phone

(484) 639-9447

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Tax ID family

Cameron Mental Health Therapy Supportive Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Cameron Mental Health Therapy & Supportive Services, LLC

  • Professional Counselor
  • West Chester, PA
  • NPI 1851021430
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Cameron, LPC

  • Professional Counselor
  • Philadelphia, PA
  • NPI 1174080394
  NPD Authorized official

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1366168247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 BOOT RD UNIT 491",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193357023",
            "telephone_number": "484-639-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1583 MONTVALE CIR",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193801560",
            "telephone_number": "717-575-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMERON MENTAL HEALTH THERAPY & SUPPORTIVE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-13",
        "last_updated": "2022-10-13",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "CAMERON",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER/PRIMARY THERAPIST",
        "authorized_official_telephone_number": "484-639-9447",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 2",
            "identifier": "1851021430",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lisa@cameronmentalhealth.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1583 Montvale Cir",
            "city": "West Chester",
            "state": "PA",
            "country_code": "US",
            "postal_code": "193801560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dana Jane Calabrese, M.A. CCC-SLP
• Caylor Johnson Callaghan, CRNP
• Marie A. Callahan, RPH
• Stephanie Michelle Calora, D.M.D.
• Sandra Camarota, CRNP
• Cameron Mental Health Therapy & Supportive Services, LLC
• Ralph Edward Cameron, PHARMD
• Linda Camlin, CRNP
• Elizabeth Kemeny Campbell, PT, DPT
• Reginald Candio, PSY.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in West Chester, PA
• Providers in West Chester, PA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.