Active NPI
Camryn Langley, LPC
- Mental Health Counselor
- Madison, WI
National Provider Identifier
1942047311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 12409-125
- Practice address
- 1716 Fordem Ave
Madison, WI 53704-4604 - Phone
- (608) 221-3511
- Fax
- (608) 221-3514
- NPI assigned
- Jul 11, 2024
- Last updated
- Sep 24, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 12409-125 | WI | Primary |
| Mental Health Counselor | 101YM0800X | 12196 | SC |
Addresses
Primary practice location
1716 Fordem Ave
Madison, WI 53704-4604
Mailing address
1724 Willow Rock Rd Apt 201
Madison, WI 53718-9266
Other practice location 1
1969 W Hart Rd
Beloit, WI 53511-2230
Phone (608) 492-3688
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1905 E Huebbe Pkwy
Beloit, WI 53511-1842
6137 106TH Ave
Kenosha, WI 53142-7599
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790208000000",
"number": "1942047311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1724 WILLOW ROCK RD APT 201",
"city": "MADISON",
"state": "WI",
"postal_code": "537189266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1716 FORDEM AVE",
"city": "MADISON",
"state": "WI",
"postal_code": "537044604",
"telephone_number": "608-221-3511",
"fax_number": "608-221-3514"
}
],
"practiceLocations": [
{
"address_1": "1969 W Hart Rd",
"address_purpose": "LOCATION",
"city": "Beloit",
"state": "WI",
"postal_code": "535112230",
"country_code": "US",
"telephone_number": "608-492-3688",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANGLEY",
"first_name": "CAMRYN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-11",
"last_updated": "2026-09-24",
"certification_date": "2026-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "12409-125",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SC",
"license": "12196",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.