Individual provider Active NPI

Cameron C Brown, PHD, LMFT

  • Marriage & Family Therapist
  • Lubbock, TX
National Provider Identifier
1700180163
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
203742 Issued in TX
Practice address
5504 Wayne Ave Ste 109
Lubbock, TX 79414-4137
Phone
(806) 853-7292
NPI assigned
Dec 28, 2010
Last updated
Jul 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
203742TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Sky Family Therapy LLC CurrentSince Apr 21, 2024 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.

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

Verify at the official NPI Registry.