Simone Nohemi Camarillo, M.ED. LPC CANDIDIATE

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

213 N Grand Fork Dr
Edmond, OK 73003-4753

Phone

(806) 676-7958

NPI assigned

Oct 16, 2012

Last updated

Oct 16, 2012By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

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.

• Concepts in Counseling, LLC

  dba Concepts Integrated Behavioral Health

  • Community/Behavioral Health Agency
  • Oklahoma City, OK
  • NPI 1639300213
  NPD (past)

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1952654816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 N GRAND FORK DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730034753",
            "telephone_number": "806-676-7958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 N GRAND FORK DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730034753",
            "telephone_number": "806-676-7958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMARILLO",
        "first_name": "SIMONE",
        "middle_name": "NOHEMI",
        "name_prefix": "Miss",
        "credential": "M.ED. LPC CANDIDIATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-16",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawna Jean Cale, PT
• A-Stacishea Calhoun
• Kristen Callaway, LMFT
• Umo Callins, MS,RD/LD
• Caltre LLC (Tower Dental)
• Linda Kupchak Cameron, M.A., CCC'SLP
• Tommy Dean Camp, P.A.
• Campbell Child Psychology, LLC
• Campbell Comprehensive Psychological Services, LLC (PCIT & TCIT Training)
• Christopher Campbell, PH.D.

• Mental Health Counselor in Edmond, OK
• Providers in Edmond, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.