CAMELOT COMMUNITY CARE (NPI# 1497387104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497387104 |
| Entity Type | Organization |
| Organization Name | CAMELOT COMMUNITY CARE |
| Practice Address |
1601 Ne 25th Ave Ste 306 Ocala FL 34470-4885 |
| Practice Telephone | 3526717884 |
| Mailing Telephone | 3526717884 |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-02-11 |
| Authorized Official Name | MR. KENNETH RAY BOONE SR. (COUNSELOR) |
| Authorized Official Telephone | 8322538273 |
| Authorized Official Credential | DR. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043568371 | Camelot Community Care | Community/Behavioral Health | 4910 Creekside Dr, Suite D, Clearwater, FL 33760-4023 | 2012-08-16 |
| 1679581250 | Camelot Community Care | Counselor | 4910 Creekside Dr Ste D, Clearwater, FL 33760-4034 | 2006-08-03 |
| 1639413859 | Camelot Community Care | Community/Behavioral Health | 1925 S Perimeter Rd, Fort Lauderdale, FL 33309-7122 | 2012-11-15 |
| 1780933861 | Camelot Community Care | Social Worker | 6416 Melaleuca Lane, Greenacres, FL 33464 | 2012-09-05 |
| 1881942928 | Camelot Community Care | Community/Behavioral Health | 1925 S Perimeter Rd, Suite 120, Fort Lauderdale, FL 33309-7122 | 2012-08-21 |
| 1063771780 | Camelot Community Care | Case Management | 7162 Reading Rd, Suite 300, Cincinnati, OH 45237-3838 | 2012-05-15 |
| 1639406093 | Camelot Community Care | Community/Behavioral Health | 1412 Tech Blvd, Tampa, FL 33619-7865 | 2009-11-05 |
| 1679797492 | Camelot Community Care | Community/Behavioral Health | 1601 Ne 25th Ave, Sutie 306, Ocala, FL 34470-8800 | 2007-04-12 |
| 1427171594 | Camelot Community Care | Social Worker | 1601 Ne 25th Ave, Sutie 306, Ocala, FL 34470-8800 | 2007-04-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Camelot Community Care Inc. | 4910-D Creekside Drive, Clearwater, Florida 33760 |
| Indiana Business Entities | CAMELOT COMMUNITY CARE, INC. | 4910-d Creekside Drive, Clearwater, FL 33760 |
| Street Address |
1601 NE 25TH AVE STE 306 |
| City | OCALA |
| State | FL |
| Zip Code | 34470-4885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235358094 | Brandon S. Price | Counselor | 1601 Ne 25th Ave Ste 306, Ocala, FL 34470-4885 | 2007-04-24 |
| 1336781277 | Sabrina Rene Harris | Counselor | 1601 Ne 25th Ave Ste 306, Ocala, FL 34470-4885 | 2019-10-11 |
| 1497126106 | Gregory Garofalo | Counselor | 1601 Ne 25th Ave Ste 306, Ocala, FL 34470-4885 | 2015-10-08 |
| 1962801217 | Jody Roby | Counselor | 1601 Ne 25th Ave Ste 306, Ocala, FL 34470-4885 | 2014-08-21 |
| 1730433616 | Joshua Brosius | Counselor | 1601 Ne 25th Ave Ste 306, Ocala, FL 34470-4885 | 2012-10-31 |
| 1063776045 | Belinda Alicea Ross | Counselor | 1601 Ne 25th Ave Ste 306, Ocala, FL 34470-4885 | 2012-06-25 |
| 1619128782 | Scott Tucker | Counselor | 1601 Ne 25th Ave Ste 306, Ocala, FL 34470-4885 | 2008-10-07 |
| 1700046919 | Donna Koncinsky | Counselor | 1601 Ne 25th Ave Ste 306, Ocala, FL 34470-4885 | 2008-06-11 |
| 1063601284 | Rebecca Taylor | Counselor | 1601 Ne 25th Ave Ste 306, Ocala, FL 34470-4885 | 2007-10-24 |
| 1851584833 | Heather Porterfield | Counselor | 1601 Ne 25th Ave Ste 306, Ocala, FL 34470-4885 | 2007-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568988947 | Quad Nurse Home Health Care LLC | Home Health | 2647 Ne 3rd Street, Suite #2, Ocala, FL 34470 | 2017-08-17 |
| 1609306208 | Samuel's Transportation, Inc. | Non-emergency Medical Transport (VAN) | 5905 Ne 3rd Pl, Ocala, FL 34470 | 2017-06-15 |
| 1932555802 | Chenora Netaschia Adjei-christie | Counselor | 3620 Ne 8th Pl Ste 5, Ocala, FL 34470 | 2016-05-10 |
| 1811363906 | Clinical Laboratory Diagnostics, LLC. | Clinical Medical Laboratory | 3855 East Silver Springs Blvd., Executive Suite 105, Ocala, FL 34470 | 2015-08-12 |
| 1659787752 | Molly Bordelon Stanford | Dentist | 4910 E Silver Springs Blvd, Ocala, FL 34470 | 2014-07-09 |
| 1346651502 | Christopher M. Pell, LLC | Chiropractor | 901 E Silver Springs Blvd, Ocala, FL 34470 | 2014-05-09 |
| 1174831242 | Lisa Buckler Wood | Massage Therapist | 611 Ne 25th Avenue, Ocala, FL 34470 | 2010-09-22 |
| 1578890349 | Diane C Bandy | Counselor | 1701 Ne 42nd Avenue, Ocala, FL 34470 | 2009-11-15 |
| 1992949341 | M Jane Foye | Family Medicine | 1515 W Silver Springs Blvd., #226, Ocala, FL 34470 | 2009-04-29 |
| 1205077005 | Robert Floyd Bitters | Hearing Instrument Specialist | 111 Ne 25th Ave, Suite 204, Ocala, FL 34470 | 2009-03-09 |
| Find all providers in zip 34470 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295467 | Mental Health Services and Recovery LLC | Counselor | 1012 E Silver Springs Blvd Ste A, Ocala, FL 34470-6777 | 2020-11-02 |
| 1962002667 | Deborah Giles | Counselor | 5001 Sw 20th St Apt 4415, Ocala, FL 34474-8533 | 2020-10-30 |
| 1972117950 | Cristin Maureen Small | Counselor | 3460 Se 31st Ter, Ocala, FL 34471-6924 | 2020-09-07 |
| 1649813619 | Theresia Rene Jackson | Counselor | 6460 Nw 67th Ter, Ocala, FL 34482-2130 | 2019-10-23 |
| 1508424292 | Deedra Conrad | Counselor | 1701 Ne 42nd Ave Ste 301, Ocala, FL 34470-8026 | 2019-05-29 |
| 1467017657 | Jennifer Swanson | Counselor | 115 Ne 28th Ave, Ocala, FL 34470-1264 | 2019-05-03 |
| 1790269272 | Bridges Behavioral Health LLC | Counselor | 1515 E Silver Springs Blvd Ste 137, Ocala, FL 34470-6830 | 2018-09-20 |
| 1265915896 | Alina Community Center LLC | Counselor | 1815 Ne Jacksonville Rd Ste A, Ocala, FL 34470-4141 | 2018-09-10 |
| 1659877934 | Kummerle Psychotherapy LLC | Counselor | 6000 Nw 70th Avenue Rd Ste 225a, Ocala, FL 34482-6735 | 2018-04-04 |
| 1255830287 | Sylphia Renee Lindsay | Counselor | 725 E Silver Springs Blvd Ste 11, Ocala, FL 34470-6711 | 2018-02-05 |
| Find all providers in OCALA | ||||
Please comment or provide details below to improve the information on CAMELOT COMMUNITY CARE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.