Organization Active NPI

Camron Hinckle LLC

  • Mental Health Counselor
  • West Allis, WI
National Provider Identifier
1538704960
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CAMRON HINCKLE LLC
Practice address
1319 S 102ND St
West Allis, WI 53214-3905
Phone
(414) 418-6557
NPI assigned
Nov 8, 2019
Last updated
Nov 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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

Authorized official

Name
Camron Hinckle
Title
Mental Health Therapist
Phone
(414) 418-6557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1319 S 102ND St
West Allis, WI 53214-3905

Mailing address

1319 S 102ND St
West Allis, WI 53214-3905

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Camronhinckle@outlook.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573171200000",
    "number": "1538704960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 S 102ND ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532143905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 S 102ND ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532143905",
            "telephone_number": "414-418-6557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMRON HINCKLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-08",
        "last_updated": "2019-11-08",
        "status": "A",
        "authorized_official_last_name": "HINCKLE",
        "authorized_official_first_name": "CAMRON",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "414-418-6557"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Camronhinckle@outlook.com",
            "affiliation": "N",
            "address_1": "1319 S 102nd St",
            "city": "West Allis",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532143905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Allis, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; 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.