Individual provider Active NPI

Camilla F Dye, LPC

  • Professional Counselor
  • Nederland, CO
National Provider Identifier
1790305712
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0016181 Issued in CO
Practice address
491 W Spring Street
Nederland, CO 80466
Phone
(720) 282-1727
Fax
(866) 757-5778
NPI assigned
Apr 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC.0016181 CO Primary

Addresses

Primary practice location

491 W Spring Street
Nederland, CO 80466

Mailing address

350 East Street #56
Nederland, CO 80466-0056
Phone (720) 282-1727

Other identifiers 1

IdentifierTypeStateIssuer
9000183797MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20241209001534 CO Practitioner - Mental Health Counselor 1850827205 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

Practice addresses (Care Compare)

Nederland, CO 80466
Phone (720) 282-1727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0016181COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Growth Therapy LLC Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

350 East St
Unit 56
Nederland, CO 80466
Phone (720) 282-1727

80 Big Springs Dr
Ste 315
Nederland, CO 80466

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1790305712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 EAST STREET #56",
            "city": "NEDERLAND",
            "state": "CO",
            "postal_code": "804660056",
            "telephone_number": "720-282-1727",
            "fax_number": "866-757-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 W SPRING STREET",
            "city": "NEDERLAND",
            "state": "CO",
            "postal_code": "80466",
            "telephone_number": "720-282-1727",
            "fax_number": "866-757-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYE",
        "first_name": "CAMILLA",
        "middle_name": "F",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-20",
        "last_updated": "2023-09-13",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0016181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000183797",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nederland, CO

Sources for this page

Verify at the official NPI Registry.