Camille Short, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5631 Issued in LA

Practice address

4800 S Grand St
Monroe, LA 71202-6412

Phone

(318) 362-3339

NPI assigned

Nov 9, 2015

Last updated

Feb 6, 2024By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Medicare enrollment (NPD)

Enrolled

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.

• Healing Life Health Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monroe, LA
  • NPI 1972975225
  Medicare reassignment NPD
• Northeast Delta Human Services Authority

  dba Monroe Behavioral Health Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monroe, LA
  • NPI 1033551833
  Medicare reassignment NPD
• Honest Conversation, LLC

  • Professional Counselor
  • Monroe, LA
  • NPI 1093579328
  NPD Authorized official
• Northeast Delta Human Services Authority

  dba Tallulah Behavioral Health Clinic-Medical

  • Primary Care Clinic/Center
  • Tallulah, LA
  • NPI 1417601394
  NPD
• Northeast Delta Human Services Authority

  dba Monroe Behavioral Health Child and Family Services - Medical

  • Primary Care Clinic/Center
  • Monroe, LA
  • NPI 1790158681
  NPD

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1811360118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 S GRAND ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712026412",
            "telephone_number": "318-362-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 S GRAND ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712026412",
            "telephone_number": "318-362-3339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2410 Ferrand St Ste 9",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712013241",
            "country_code": "US",
            "telephone_number": "318-323-1560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHORT",
        "first_name": "CAMILLE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-09",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "5631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad A Shields, APRN
• Shirley C. Hammons (Lifecare Hospice)
• Brooke Nikole Shirley, M.A., CF-SLP
• Stephen Tyler Shockey, LPC
• Carl Benjamin Shockley, RN
• Teyauna Shorter
• Shoulders of Strength Inc
• Shoulders of Strength, Inc.
• Paris Shoulders
• Toby William Shoulders Jr.

• Professional Counselor in Monroe, LA
• Providers in Monroe, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.