Active NPI
Camille Faye Weas, MA
- Mental Health Counselor
- Golden Valley, MN
National Provider Identifier
1770022535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1817 | MN | MD | Critical Care Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspiria Partners LLC | Mental Health | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.