Active NPI
Eartha J Camon, MA, LPC-S
- Professional Counselor
- Crowley, TX
National Provider Identifier
1528094810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 15133
- Practice address
- 1459 Conley LN
Crowley, TX 76036-1270 - Phone
- (817) 466-4450
- Fax
- (817) 423-7706
- NPI assigned
- Jun 25, 2006
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 15133 | TX | Primary |
Addresses
Primary practice location
1459 Conley LN
Crowley, TX 76036-1270
Mailing address
910 S Crowley Rd Ste 9-348
Crowley, TX 76036-3686
Phone (817) 466-4450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 027934101 | Medicaid | TX |
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 |
|---|---|---|---|
| 15133 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rud Counseling & Psychotherapy PLLC | Professional | Current | Accepting new patients |
| Eartha J Camon | Professional | Past | Accepting new patients |
Locations
910 S Crowley Rd
Ste 9348
Crowley, TX 76036
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.
-
- Professional Counselor
- Crowley, TX
- NPI 1811560238
-
- Professional Counselor
- Arlington, TX
- NPI 1356649164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626307200000",
"number": "1528094810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 S CROWLEY RD STE 9-348",
"city": "CROWLEY",
"state": "TX",
"postal_code": "760363686",
"telephone_number": "817-466-4450",
"fax_number": "817-423-7706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1459 CONLEY LN",
"city": "CROWLEY",
"state": "TX",
"postal_code": "760361270",
"telephone_number": "817-466-4450",
"fax_number": "817-423-7706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMON",
"first_name": "EARTHA",
"middle_name": "J",
"credential": "MA, LPC-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-25",
"last_updated": "2021-07-15",
"certification_date": "2021-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "15133",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "027934101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crowley, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.