Individual provider Active NPI

Richard Stewart Cameron, MFT

  • Mental Health Counselor
  • San Mateo, CA
National Provider Identifier
1609041185
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MA20470 Issued in CA
Practice address
205 E 3Rd Ave
Suite 203
San Mateo, CA 94401-4051
Phone
(650) 573-1956
Fax
(650) 375-1961
NPI assigned
Apr 25, 2008
Last updated
Apr 25, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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 MA20470 CA Primary

Addresses

Primary practice location

205 E 3Rd Ave
Suite 203
San Mateo, CA 94401-4051

Mailing address

205 E 3Rd Ave
Suite 203
San Mateo, CA 94401-4051
Phone (650) 573-1956

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
MA20470CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1609041185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E 3RD AVE",
            "address_2": "SUITE 203",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944014051",
            "telephone_number": "650-573-1956",
            "fax_number": "650-375-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E 3RD AVE",
            "address_2": "SUITE 203",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944014051",
            "telephone_number": "650-573-1956",
            "fax_number": "650-375-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMERON",
        "first_name": "RICHARD",
        "middle_name": "STEWART",
        "name_prefix": "Mr.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MA20470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.