Active NPI
Chelsea Cameron
- Marriage & Family Therapist
- Maitland, FL
National Provider Identifier
1518633247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MT3526
- Practice address
- 100 E Sybelia Ave Ste 380
Maitland, FL 32751-4775 - Phone
- (630) 699-2683
- NPI assigned
- Aug 22, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH16154 | FL | |
| Marriage & Family Therapist | 106H00000X | MT3526 | FL | Primary |
Addresses
Primary practice location
100 E Sybelia Ave Ste 380
Maitland, FL 32751-4775
Mailing address
100 E Sybelia Ave Ste 380
Maitland, FL 32751-4775
Phone (630) 699-2683
Other practice location 1
20218 19th Dr SE Apt B
Bothell, WA 98012-7164
Phone (630) 699-2683
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://c3.secure-client-area.com/ |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MH16154 | FL | MD | Mental Health Counselor |
| MT3526 | FL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638748800000",
"number": "1518633247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E SYBELIA AVE STE 380",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327514775",
"telephone_number": "630-699-2683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E SYBELIA AVE STE 380",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327514775",
"telephone_number": "630-699-2683"
}
],
"practiceLocations": [
{
"address_1": "20218 19th Dr SE Apt B",
"address_purpose": "LOCATION",
"city": "Bothell",
"state": "WA",
"postal_code": "980127164",
"country_code": "US",
"telephone_number": "630-699-2683",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMERON",
"first_name": "CHELSEA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-22",
"last_updated": "2021-12-06",
"certification_date": "2021-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH16154",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT3526",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://c3.secure-client-area.com/",
"affiliation": "N",
"address_1": "100 E Sybelia Ave Ste 380",
"city": "Maitland",
"state": "FL",
"country_code": "US",
"postal_code": "327514775",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Maitland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.