Camille Simone Moltzen, BA/MS

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

License

2475B24E6D Issued in CA

Practice address

139 Henderson St
Alturas, CA 96101-3921

Phone

(530) 233-7101

NPI assigned

May 12, 2025

Last updated

May 12, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Bachelor of Arts, Master of Science

State licenses

Practice roles

Locations

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.

• Tulelake Basin Joint Unified School District

  • Local Education Agency (LEA)
  • Tulelake, CA
  • NPI 1497570261
  NPD
• Modoc County Office of Education

  • Local Education Agency (LEA)
  • Alturas, CA
  • NPI 1205986429
  NPD (past)

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1801686746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 HENDERSON ST",
            "city": "ALTURAS",
            "state": "CA",
            "postal_code": "961013921",
            "telephone_number": "530-233-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 HENDERSON ST",
            "city": "ALTURAS",
            "state": "CA",
            "postal_code": "961013921",
            "telephone_number": "530-233-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLTZEN",
        "first_name": "CAMILLE",
        "middle_name": "SIMONE",
        "name_prefix": "Mrs.",
        "credential": "BA/MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "CA",
            "license": "2475B24E6D",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Modoc County Joint Unified School District
• Modoc County Office of Education
• Modoc Family Pharmacy Inc (Modoc Family Pharmacy)
• Modoc Family Pharmacy Inc (Modoc Family Pharmacy LTC)
• Ruth Ann Moeller, FNP
• Adelaida B Moore, MPSS
• Paul Leon Mueller, LCSW
• Sarah Myers
• Dolores C Navarro Turner, LCSW
• Jenna Nicole Nelson

• Health & Wellness Coach in Alturas, CA
• Providers in Alturas, CA by specialty
• Health & Wellness Coach in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.