Camryn Conrad-Renteria, LCPC
Individual provider Active NPI Professional Counselor · Vale, OR
NPI 1801174875 · NPPES record last updated Jan 13, 2026
Key facts
- NPI
- 1801174875
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- C3940 (OR)
- Practice address
- 789 Washington St W
Vale, OR 97918-1147 - Phone
- (541) 473-2101
- Fax
- (541) 473-2668
- NPI assigned
- Jul 25, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Valley Family Health Care Inc
Practice addresses (Care Compare)
1441 NE 10TH Ave
Payette, ID 83661-5420
Phone (208) 642-9376
17 S 3Rd St
Nyssa, OR 97913-3815
Phone (541) 372-5738
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ID, OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240501003997 | ID | Practitioner - Mental Health Counselor | 4587017496 | Reassigns benefits to 1 organization |
| I20240502002557 | OR | Practitioner - Mental Health Counselor | 4587017496 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCPC-5843 | ID | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Family Health Care, Inc | Current | Accepting new patients | |
| Valley Family Health Care, Inc | Current |
Accepting new patients | |
| Valley Family Health Care Inc | Current |
Accepting new patients | |
| Valley Family Health Care, Inc | Past | Accepting new patients | |
| Valley Family Health Care, Inc | Past | Accepting new patients |
Locations
207 E 12th St
Emmett, ID 83617
Phone (208) 365-1065
1441 NE 10th Ave
Payette, ID 83661
Phone (208) 642-9376
17 S 3rd St
Nyssa, OR 97913
Phone (541) 372-5738
896 Fortner St
Ontario, OR 97914
Phone (541) 709-2038
2327 SW 4th Ave
Unit 3
Ontario, OR 97914
Phone (541) 889-2340
789 Washington St W
Vale, OR 97918
Phone (503) 473-2101
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C3940 | OR | Yes |
| Professional Counselor | 101YP2500X | LCPC-5843 | ID |
Addresses
Primary practice location
789 Washington St W
Vale, OR 97918-1147
Mailing address
1441 NE 10TH Ave
Payette, ID 83661-5420
Phone (208) 642-9376
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500702739 | Medicaid | OR |
Other providers in Vale, OR
- Amber L Beymer
- Brighter Days Counseling, LLC
- Angela Carlson
- City of Vale
- Jessica Ann Cox
- Robert Davis
- Dr. Jacob Atkinson DMD PC
- Sandra Ali Grasty
- Thomas R Hamilton
All providers in Vale, OR · Professional Counselor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.