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Camron L Whitacre , MSED, LPCC-S, LMHC

Counselor - Professional β€’ Kettering, OH

Active NPI 1487880316 Individual Practitioner Male Practitioner
Practice location in NPPES

1563 E Dorothy Ln, Suite 300b
Kettering, OH 454293897

Call 9379386067 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1563 E Dorothy Ln
Suite 300b

Kettering, OH 454293897

Telephone 9379386067
Fax 9379386067
Organization at the Same NPPES Address or Phone
Medical Radiologists Inc Facility NPI 1902912579

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Indianapolis, IN. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2009

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Kettering and Ohio

19 active clinicians are listed under Counselor - Professional with a practice address in Kettering, OH (6,790 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Kettering

5.3% of these 19 clinicians have the CMS telehealth indicator.

15.8% of these 19 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-07-01
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OH E.0008476
Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES IN 39004229A
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
0178113 (OH)

Secondary Practice Locations

70 E 91st St

Indianapolis, IN 462401561

Phone: 9379034953

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Dr. Jeffery Nielson , MD

Radiology - Diagnostic Radiology

NPI 1134147358

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ‘€
Provider Name / Credentials Updated July 01, 2022

Recorded as CAMRON WHITACRE, MS.ED., LPCC-S, LMHC

βœ…
NPI Profile Active April 08, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location April 08, 2017

Registered at 1563 E DOROTHY LN, SUITE 300B, KETTERING, OH 454293897 (Tel: 9379386067)

πŸ“
Updated Business Mailing Address April 08, 2017

Registered at 1563 E DOROTHY LN, SUITE 300B, KETTERING, OH 454293897 (Tel: 9379386067)

πŸ‘€
Provider Name / Credentials Updated April 08, 2017

Recorded as CAMRON WHITACRE, M.S.ED.,PCC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2017

Counselor (license number reported to NPPES: OH E.0008476)

βœ…
NPI Profile Active June 05, 2009

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 05, 2009

Registered at 2555 S DIXIE DR, SUITE 260, DAYTON, OH 454091539 (Tel: 9378539061)

πŸ“
Business Mailing Address (Initial Record) June 05, 2009

Registered at 2555 S DIXIE DR, SUITE 260, DAYTON, OH 454091539 (Tel: 9378539061)

πŸ‘€
Provider Name / Credentials (Initial Record) June 05, 2009

Recorded as CAMRON WHITACRE, M.S.ED.,PCC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2009

Counselor (license number reported to NPPES: OH E.0008476)

🟒
Initial NPI Registration & Enumeration June 05, 2009

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1487880316
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2009
Last Update: July 01, 2022
Sole Proprietor: No

Mailing Address

1563 E Dorothy Ln, Suite 300b

Kettering, OH 454293897

Phone: 9379386067

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.