Individual provider Active NPI

Camren Douglas Bento

  • Mental Health Counselor
  • Oak Creek, WI
National Provider Identifier
1528791118
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7026-226 Issued in WI
Practice address
311 E Robert Rd
Oak Creek, WI 53154-5737
Phone
(414) 722-0535
NPI assigned
Jul 1, 2022
Last updated
Jul 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7026-226 WI Primary

Addresses

Primary practice location

311 E Robert Rd
Oak Creek, WI 53154-5737

Mailing address

311 E Robert Rd
Oak Creek, WI 53154-5737
Phone (414) 722-0535

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address camren.bento@hushmail.com Direct

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

LicenseStateTypeSpecialty
7026-226WIMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1528791118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 E ROBERT RD",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531545737",
            "telephone_number": "414-722-0535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E ROBERT RD",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531545737",
            "telephone_number": "414-722-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTO",
        "first_name": "CAMREN",
        "middle_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-01",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "7026-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "camren.bento@hushmail.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA Encrypted and Compliant E-Mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "311 E Robert Rd",
            "city": "Oak Creek",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531545737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oak Creek, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.