Active NPI
Kristan Cameron, MA., LCPC
- Mental Health Counselor
- Antioch, IL
National Provider Identifier
1457579625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180.002580
- Practice address
- 532 Lake St
Antioch, IL 60002-1424 - Phone
- (224) 652-9085
- Fax
- (224) 985-2116
- NPI assigned
- Apr 23, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 180.002580 | IL | Primary |
Addresses
Primary practice location
532 Lake St
Antioch, IL 60002-1424
Mailing address
532 Lake St
Antioch, IL 60002-1424
Phone (224) 652-9085
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04932457 | Other | IL | BCBS GROUP # |
| 1942171426 | Other | IL | ORGANIZATION |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.002580 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trust & Transform Counseling, PLLC | Mental Health | Current | Accepting new patients |
| Blending Families, Inc. | Mental Health | Past | Accepting new patients |
| Blending Families, Inc | Clinical | Past | Accepting new patients |
Organizations & group practices 3
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": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765411200000",
"number": "1457579625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "532 LAKE ST",
"city": "ANTIOCH",
"state": "IL",
"postal_code": "600021424",
"telephone_number": "224-652-9085",
"fax_number": "224-985-2116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "532 LAKE ST",
"city": "ANTIOCH",
"state": "IL",
"postal_code": "600021424",
"telephone_number": "224-652-9085",
"fax_number": "224-985-2116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMERON",
"first_name": "KRISTAN",
"credential": "MA., LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-23",
"last_updated": "2025-12-11",
"certification_date": "2025-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180.002580",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP #",
"identifier": "04932457",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ORGANIZATION",
"identifier": "1942171426",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Antioch, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.