Cameron Keith Wiemerslage, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-8797 Issued in ID

Practice address

161 E Mallard Dr
Boise, ID 83706-5015

Phone

(208) 605-3657

NPI assigned

Jun 6, 2022

Last updated

Jun 6, 2022By the provider in NPPES

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cameron Wiemerslage Counseling, LLC

  • Community/Behavioral Health Agency
  • Boise, ID
  • NPI 1336846989
  NPD Authorized official

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1922737097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6909 W WESTFIELD PL",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837044651",
            "telephone_number": "208-914-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 E MALLARD DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837065015",
            "telephone_number": "208-605-3657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEMERSLAGE",
        "first_name": "CAMERON",
        "middle_name": "KEITH",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC-8797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Lynn Widdison, DMD
• Margaret L Widener, CNM
• Michael Widmann, D.C.
• Kurt Wiebold, PA
• Kelsey Wieland
• Arika Wieneke
• Paula Wiens, R.N., C.N.M.
• Kathryn Wierenga, PT
• Olivia G Wiese, MD
• Taylor Nicole Wiest, M.S., SLP-CCC

• Professional Counselor in Boise, ID
• Providers in Boise, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.