Individual provider Active NPI

Camille S Rhoades, MA, LPC

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1639498215
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0017175 Issued in CO
Practice address
9475 Briar Village PT Ste 215
Colorado Springs, CO 80920-7908
Phone
(719) 357-8957
NPI assigned
May 22, 2010
Last updated
Jan 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0017175 CO Primary

Addresses

Primary practice location

9475 Briar Village PT Ste 215
Colorado Springs, CO 80920-7908

Mailing address

9475 Briar Village PT Ste 215
Colorado Springs, CO 80920
Phone (719) 357-8957

Other practice location 1

1738 Wynkoop St Ste 303
Denver, CO 80202-1000
Phone (844) 888-9355

Other names 1

  • Ms. Camille S Azzam Former name

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0017175COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Springs Counseling LLC Professional CurrentSince Feb 2, 2025 Accepting new patients
Balance Counseling PLLC Professional CurrentSince Jan 19, 2025 Accepting new patients

Locations

3280 E Woodmen Rd
Ste 100
Colorado Springs, CO 80920

9475 Briar Village Pt
Ste 215
Colorado Springs, CO 80920
Phone (719) 357-5610

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1274486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1639498215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9475 BRIAR VILLAGE PT STE 215",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80920",
            "telephone_number": "719-357-8957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9475 BRIAR VILLAGE PT STE 215",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207908",
            "telephone_number": "719-357-8957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1738 Wynkoop St Ste 303",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802021000",
            "country_code": "US",
            "telephone_number": "844-888-9355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RHOADES",
        "first_name": "CAMILLE",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-22",
        "last_updated": "2022-01-14",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0017175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAMILLE",
            "last_name": "AZZAM",
            "middle_name": "S",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.