Individual provider Active NPI

Camri L Naseth, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Saint Paul, MN
National Provider Identifier
1407337470
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
304591 Issued in MN
Practice address
1205 Grand Ave
Saint Paul, MN 55105-2634
Phone
(651) 300-7942
NPI assigned
Aug 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 304591 MN Primary

Addresses

Primary practice location

1205 Grand Ave
Saint Paul, MN 55105-2634

Mailing address

1205 Grand Ave
Saint Paul, MN 55105-2634

Other practice location 1

1818 Wooddale Dr
Woodbury, MN 55125-2940
Phone (651) 300-7942

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241025000037 MN Practitioner - Marriage and Family Therapist 5496288722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Invigorate Life Counseling, PLLCGroup PAC ID 3577004001, 4 clinicians

Practice addresses (Care Compare)

1205 Grand Ave
Saint Paul, MN 55105-2634
Phone (612) 619-7611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
304591MNMDAddiction (Substance Use Disorder) Counselor
4190MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Invigorate Life Counseling, PLLC Single Specialty CurrentSince Oct 1, 2024 Accepting new patients
RC Counseling Services Single Specialty Past Accepting new patients

Organizations & group practices 2

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": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1407337470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 GRAND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551052634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 GRAND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551052634",
            "telephone_number": "651-300-7942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1818 Wooddale Dr",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "MN",
            "postal_code": "551252940",
            "country_code": "US",
            "telephone_number": "651-300-7942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASETH",
        "first_name": "CAMRI",
        "middle_name": "L",
        "credential": "LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "304591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.