Active NPI
Cameron C Brown, PHD, LMFT
- Marriage & Family Therapist
- Lubbock, TX
National Provider Identifier
1700180163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 203742
- Practice address
- 5504 Wayne Ave Ste 109
Lubbock, TX 79414-4137 - Phone
- (806) 853-7292
- NPI assigned
- Dec 28, 2010
- Last updated
- Jul 11, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 203742 | TX | Primary |
Addresses
Primary practice location
5504 Wayne Ave Ste 109
Lubbock, TX 79414-4137
Mailing address
5504 Wayne Ave Ste 109
Lubbock, TX 79414-4137
Phone (806) 853-7292
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Oct 9, 2024 through Oct 9, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 203742 | TX | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desert Sky Family Therapy LLC | Current | Accepting new patients |
Locations
5504 Wayne Ave
Ste 109
Lubbock, TX 79414
Phone (806) 853-7292
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Lubbock, TX
- NPI 1013761055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1700180163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5504 WAYNE AVE STE 109",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794144137",
"telephone_number": "806-853-7292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5504 WAYNE AVE STE 109",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794144137",
"telephone_number": "806-853-7292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "CAMERON",
"middle_name": "C",
"credential": "PHD, LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-12-28",
"last_updated": "2024-07-11",
"certification_date": "2024-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "203742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.