Active NPI
Camille Alfreda Clay, EDD, LPC
- Professional Counselor
- Washington, DC
National Provider Identifier
1497901714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PRC 1
- Practice address
- 4014 Georgia Ave NW
Washington, DC 20011-5857 - Phone
- (202) 882-1400
- Fax
- (202) 882-1400
- NPI assigned
- Aug 18, 2008
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PRC 1 | DC | Primary |
Addresses
Primary practice location
4014 Georgia Ave NW
Washington, DC 20011-5857
Mailing address
4014 Georgia Ave NW
Washington, DC 20011-5857
Phone (202) 882-1400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240515004517 | DC | Practitioner - Mental Health Counselor | 7012358468 | Practice locations: Washington, DC |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1984
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3137 18TH St NE
Washington, DC 20018-2415
Phone (202) 882-1400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PRC 1 | DC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219017600000",
"number": "1497901714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4014 GEORGIA AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200115857",
"telephone_number": "202-882-1400",
"fax_number": "202-882-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4014 GEORGIA AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200115857",
"telephone_number": "202-882-1400",
"fax_number": "202-882-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAY",
"first_name": "CAMILLE",
"middle_name": "ALFREDA",
"name_prefix": "Dr.",
"credential": "EDD, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-18",
"last_updated": "2008-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "DC",
"license": "PRC 1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.