Active NPI
Cameron Meador, LPCA
- Mental Health Counselor
- Edgewood, KY
National Provider Identifier
1699398677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 25999
- Practice address
- 925 Dudley Pike
Edgewood, KY 41017-8120 - Phone
- (859) 360-3006
- Fax
- (859) 360-3053
- NPI assigned
- May 25, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 25999 | KY | Primary |
Addresses
Primary practice location
925 Dudley Pike
Edgewood, KY 41017-8120
Mailing address
925 Dudley Pike
Edgewood, KY 41017-8120
Phone (859) 360-3006
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bluegrass Behavioral Health Group, LLC | Mental Health | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590364800000",
"number": "1699398677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 DUDLEY PIKE",
"city": "EDGEWOOD",
"state": "KY",
"postal_code": "410178120",
"telephone_number": "859-360-3006",
"fax_number": "859-360-3053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 DUDLEY PIKE",
"city": "EDGEWOOD",
"state": "KY",
"postal_code": "410178120",
"telephone_number": "859-360-3006",
"fax_number": "859-360-3053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEADOR",
"first_name": "CAMERON",
"credential": "LPCA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-05-25",
"last_updated": "2020-05-25",
"certification_date": "2020-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KY",
"license": "25999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edgewood, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.