Organization Active NPI

Nomad Healing Practices

  • Adult Mental Health Clinic/Center
  • Camarillo, CA
National Provider Identifier
1659994291
Registry record updated May 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
NOMAD HEALING PRACTICES
Practice address
1601 Carmen Dr Ste 215C
Camarillo, CA 93010-3105
Phone
(831) 809-4634
NPI assigned
May 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2020

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

Authorized official

Name
Mr. Louis Jerald Lumpkin III, LMFTNPI 1265771935
Title
Owner/ Therapist
Phone
(831) 809-4634

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1601 Carmen Dr Ste 215C
Camarillo, CA 93010-3105

Mailing address

PO Box 952
Newbury Park, CA 91319-0952

Other identifiers 1

IdentifierTypeStateIssuer
1265771935MedicaidCA

National Provider Directory

National Provider Directory

Locations

1601 Carmen Dr
Ste 215C
Camarillo, CA 93010
Phone (831) 809-4634

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589760000000",
    "number": "1659994291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 952",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913190952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 CARMEN DR STE 215C",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930103105",
            "telephone_number": "831-809-4634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOMAD HEALING PRACTICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-18",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A",
        "authorized_official_last_name": "LUMPKIN",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "JERALD",
        "authorized_official_title_or_position": "OWNER/ THERAPIST",
        "authorized_official_telephone_number": "831-809-4634",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265771935",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; 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.