Camelot Community Care

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CAMELOT COMMUNITY CARE

Practice address

1601 NE 25TH Ave Ste 306
Ocala, FL 34470-4885

Phone

(352) 671-7884

NPI assigned

Feb 11, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth Ray Boone Sr., DR.

Title

Counselor

Phone

(832) 253-8273

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581379200000",
    "number": "1497387104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 NE 25TH AVE STE 306",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344704885",
            "telephone_number": "352-671-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 NE 25TH AVE STE 306",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344704885",
            "telephone_number": "352-671-7884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMELOT COMMUNITY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "832-253-8273",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DR."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Camelot Chateau Management Company LLC
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• Camelot Realty LLC (Camelot Chateau)
• Cameo Pharmacy LLC (Cameo Pharmacy)
• Stephanie Lynne Cameron

• Mental Health Counselor in Ocala, FL
• Providers in Ocala, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.