Active NPI
Kamaria Clemons
- Mental Health Counselor
- Princess Anne, MD
National Provider Identifier
1376246793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 11760 Somerset Ave
Princess Anne, MD 21853-1239 - Phone
- (301) 957-6432
- NPI assigned
- Mar 24, 2023
- 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 | Primary |
Addresses
Primary practice location
11760 Somerset Ave
Princess Anne, MD 21853-1239
Mailing address
142 Ocean Aisle Cir Apt 204
Salisbury, MD 21804-2098
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679616000000",
"number": "1376246793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 OCEAN AISLE CIR APT 204",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218042098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11760 SOMERSET AVE",
"city": "PRINCESS ANNE",
"state": "MD",
"postal_code": "218531239",
"telephone_number": "301-957-6432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMONS",
"first_name": "KAMARIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-24",
"last_updated": "2023-03-24",
"certification_date": "2023-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Princess Anne, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.