Cameryn Dominique Cimino, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

015095 Issued in NY

Practice address

1130 Crosspointe LN Ste 10B
Webster, NY 14580-2986

Phone

(585) 201-8212

NPI assigned

Sep 10, 2024

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

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 and National Provider Directory roles.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932
  NPD

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1891521423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6439 SUNRAY CREST DR",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145649534",
            "telephone_number": "585-704-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 CROSSPOINTE LN STE 10B",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802986",
            "telephone_number": "585-201-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIMINO",
        "first_name": "CAMERYN",
        "middle_name": "DOMINIQUE",
        "name_prefix": "Miss",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "015095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josephine Cheuk
• Paul Marc China, O.D.
• Leslie Dawn Chirdon, LPN
• Kristen M Christian, MD
• Allison Ann Cima, FNP
• Dominic J Cirillo, M.D., PH.D.
• Clark Physical Therapy, P.C.
• Jamie Albert Clark, PT
• Laura A Clark, MS, CCC/SLP
• Sharon Sandquist Clark, RPH

• Mental Health Counselor in Webster, NY
• Providers in Webster, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.