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Active NPI 1487880316 Individual Practitioner Male Practitioner

Camron L Whitacre , MSED, LPCC-S, LMHC

Counselor - Professional • Kettering, OH

Professional Overview & Biography Verified Profile Summary

Camron Whitacre, MSED, LPCC-S, LMHC is a registered healthcare professional specializing in Counselor - Professional in Kettering, OH. Practice services are available at 1563 E DOROTHY LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1563 E Dorothy Ln
Suite 300b

Kettering, OH 454293897

Telephone 9379386067
Fax 9379386067
Associated Practice Facility / Clinic
🏢 Medical Radiologists Inc Facility NPI 1902912579

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Kettering, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.2 Yrs
State Avg: 15.9 Yrs
Regional Practice Density
19 Specialists

Practicing in Kettering, OH (6923 Statewide)

Telehealth Adoption Rate
5.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-07-01
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OH E.0008476

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License IN 39004229A

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0178113 (OH)

Secondary Practice Locations

70 E 91st St

Indianapolis, IN 462401561

Phone: 9379034953

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Jeffery Nielson , MD

Radiology - Diagnostic Radiology

NPI 1134147358

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
👤
Provider Name / Credentials Updated July 01, 2022

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

NPI Profile Active April 08, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 08, 2017

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

📍
Updated Business Mailing Address April 08, 2017

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

👤
Provider Name / Credentials Updated April 08, 2017

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

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

Counselor (License #E.0008476 in OH)

NPI Profile Active June 05, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location June 05, 2009

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

📍
Updated Business Mailing Address June 05, 2009

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

👤
Provider Name / Credentials Updated June 05, 2009

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

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

Counselor (License #E.0008476 in OH)

🟢
Initial NPI Registration & Enumeration June 05, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.