Individual provider Active NPI

Camilla Paige Sayrs, MA, LPC

  • Professional Counselor
  • Menomonee Falls, WI
National Provider Identifier
1932613627
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
W212N4978 Weyer Rd
Menomonee Falls, WI 53051-6227
Phone
(414) 759-9642
NPI assigned
Nov 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

W212N4978 Weyer Rd
Menomonee Falls, WI 53051-6227

Mailing address

5235 N Ironwood Rd
Glendale, WI 53217-4906
Phone (414) 902-1533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20240423004060 WI Practitioner - Mental Health Counselor 4789023730 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Counseling and Family Services of Wisconsin Inc CurrentSince Mar 11, 2024 Accepting new patients

Locations

3800 N Mayfair Rd
Wauwatosa, WI 53222
Phone (414) 536-8333

3800 N Mayfair Rd
#1
Wauwatosa, WI 53222
Phone (262) 536-8333

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1932613627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5235 N IRONWOOD RD",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532174906",
            "telephone_number": "414-902-1533",
            "fax_number": "414-771-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W212N4978 WEYER RD",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530516227",
            "telephone_number": "414-759-9642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAYRS",
        "first_name": "CAMILLA",
        "middle_name": "PAIGE",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-17",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menomonee Falls, WI

Sources for this page

Verify at the official NPI Registry.