Individual provider Active NPI

Camille Faye Weas, MA

  • Mental Health Counselor
  • Golden Valley, MN
National Provider Identifier
1770022535
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
8085 Wayzata Blvd Ste 212
Golden Valley, MN 55426-1457
Phone
(612) 790-5767
Fax
(763) 205-3702
NPI assigned
Feb 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 1817 MN
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

8085 Wayzata Blvd Ste 212
Golden Valley, MN 55426-1457

Mailing address

3810 W 31St St Apt 304
Minneapolis, MN 55416-5326
Phone (612) 790-5767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240712000683 MN Practitioner - Mental Health Counselor 2860937000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspiria Partners LLCGroup PAC ID 2567905508, 2 clinicians

Practice addresses (Care Compare)

3810 W 31St St
Apt 304
Minneapolis, MN 55416-5326
Phone (612) 309-3659

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1817MNMDCritical Care Registered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspiria Partners LLC Mental Health CurrentSince May 1, 2024 Accepting new patients

Locations

8085 Wayzata Blvd
Ste 212
Minneapolis, MN 55426
Phone (612) 790-5767

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": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1770022535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 W 31ST ST APT 304",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554165326",
            "telephone_number": "612-790-5767",
            "fax_number": "763-205-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8085 WAYZATA BLVD STE 212",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261457",
            "telephone_number": "612-790-5767",
            "fax_number": "763-205-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAS",
        "first_name": "CAMILLE",
        "middle_name": "FAYE",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-13",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "1817",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden Valley, MN

Sources for this page

Verify at the official NPI Registry.