MISS CAMILLE ELISA ANDERSON LPC
NPI 1366875601
Counselor - Professional in Portland, OR

Active since August 09, 2013Opted out of Medicare · through Apr 15, 2027
4856 NE PRESCOTT ST, PORTLAND, OR 97218(662) 321-1448 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 10, 2025, Mar 31, 2017 (2 updates tracked since 2017).

About Miss Camille Elisa Anderson Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS CAMILLE ELISA ANDERSON LPC (NPI 1366875601) is an individual professional provider in Portland, Oregon, licensed in Oregon (C8053) and active in the NPI registry since August 2013. She has opted out of Medicare through April 15, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1366875601
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMISS CAMILLE ELISA ANDERSONCredential: LPC
Location Address4856 NE PRESCOTT STPortland, OR 97218-1751
Mailing Address4856 Ne Prescott StPortland, OR 97218-1751 · (662) 321-1448
Sole ProprietorNo
Enumeration DateAugust 9, 2013
Last NPPES UpdateOctober 10, 20252 updates tracked since enumeration
NPPES CertifiedOctober 10, 2025
NPI 1366875601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in OR · C8053
Also ListedCounselorTaxonomy 101Y00000X · License 14862 (NC), 8008 (TN), TPMC4949 (FL), 2162 (MS), C8053 (OR)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
4856 NE PRESCOTT ST, Portland, OR 97218

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Miss Camille Elisa Anderson Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 15, 2025 through April 15, 2027.

Opt-Out Effective DateApril 15, 2025
Opt-Out In Effect ThroughApril 15, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Camille Anderson's NPI number?

The NPI number for Camille Anderson is 1366875601. It was assigned to this individual provider in the NPPES registry on August 9, 2013.

Where is Camille Anderson located?

Camille Anderson practices at 4856 NE Prescott St, Portland, OR 97218. The listed phone number is (662) 321-1448.

What is Camille Anderson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Camille Anderson enrolled in Medicare?

No. Camille Anderson has opted out of Medicare through April 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Camille Anderson accept?

Health plans from UnitedHealthcare list Camille Anderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Camille Anderson was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.