Cameron Gresham

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

430 Braddock Ave
Daytona Beach, FL 32118-4616

Phone

(386) 258-1618

NPI assigned

Feb 26, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Presbyterian Counseling Center Inc

  • Voluntary or Charitable Agency
  • Deland, FL
  • NPI 1023277571

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1730773078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 MANHATTAN AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321183521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 BRADDOCK AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321184616",
            "telephone_number": "386-258-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRESHAM",
        "first_name": "CAMERON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-26",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Greggo
• Latoya Sharnett Gregory, MBA, HCM
• Amal Farid Helmy Greiss
• Vincent Edward Grekoski, DO
• Paul Michael Lee Grenelle, P.A.
• Greystone Home Healthcare LLC
• Lorie Grgurich
• Cornelia Alice Griffin, N.P.
• Lissette Grillo
• Jeremy Robert Grimes, MD

• Mental Health Counselor in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; 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.