Individual provider Active NPI

Camille Curtis Foster, L.C.S.W

  • Mental Health Counselor
  • Provo, UT
National Provider Identifier
1447669775
Registry record updated Aug 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6225199-3501 Issued in UT
Practice address
3325 N University Ave
Suite #275
Provo, UT 84604-4465
Phone
(801) 472-7134
NPI assigned
Aug 12, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6225199-3501 UT Primary

Addresses

Primary practice location

3325 N University Ave
Suite #275
Provo, UT 84604-4465

Mailing address

3325 N University Ave
Suite #275
Provo, UT 84604-4465
Phone (801) 472-7134

Other names 1

  • Camille Curtis Anderson Professional name

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

LicenseStateTypeSpecialty
6225199-3501UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Provo Counseling Center Current Accepting new patients
Provo Counseling Center Mental Health Current Accepting new patients

Locations

3325 N University Ave
Ste 300
Provo, UT 84604
Phone (801) 472-7134

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": "1407801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407801600000",
    "number": "1447669775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 N UNIVERSITY AVE",
            "address_2": "SUITE #275",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044465",
            "telephone_number": "801-472-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 N UNIVERSITY AVE",
            "address_2": "SUITE #275",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044465",
            "telephone_number": "801-472-7134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "CAMILLE",
        "middle_name": "CURTIS",
        "credential": "L.C.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-12",
        "last_updated": "2014-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "6225199-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAMILLE",
            "last_name": "ANDERSON",
            "middle_name": "CURTIS",
            "credential": "L.C.S.W",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; 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.