Cameron Laine Shivers

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MHCA.MC.61513158 Issued in WA

Practice address

8001 E Commons CT
Port Orchard, WA 98366-7511

Phone

(214) 263-3464

NPI assigned

Dec 12, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1528836244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 E COMMONS CT",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983667511",
            "telephone_number": "214-263-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 E COMMONS CT",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983667511",
            "telephone_number": "214-263-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIVERS",
        "first_name": "CAMERON",
        "middle_name": "LAINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-12",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MHCA.MC.61513158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Deanne Sherman, RPH
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• Elena Shirgalieva
• Rebecca Shirley, L.M.P.
• Dawn Marie Shoemaker, LMP
• Reynie L Shoemaker, LMP
• Brandon Eric Shumaker, D.C.
• Janell Siegel
• Manfred Siegenthaler, PTA

• Mental Health Counselor in Port Orchard, WA
• Providers in Port Orchard, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.