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CAMERON PARK COUNSELING CENTER
NPI 1477760874
Clinic/Center - Mental Health (Including Community Mental Health Center) in Cameron Park, CA

Active since May 16, 2007
970 CAMERADO DR STE 200, CAMERON PARK, CA 95682(530) 677-4404(530) 677-4545 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 7, 2023, Dec 7, 2017 (2 updates tracked since 2017).

About Cameron Park Counseling Center NPPES

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

CAMERON PARK COUNSELING CENTER (NPI 1477760874) is a healthcare organization registered as a mental health (including community mental health center) in Cameron Park, California and active in the NPI registry since May 2007. The organization lists Rose-marie Y Nieto, Owner, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1477760874
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameCAMERON PARK COUNSELING CENTER, INC.
Location Address970 CAMERADO DR STE 200Cameron Park, CA 95682-7636
Mailing Address970 Camerado Dr Ste 200Cameron Park, CA 95682-7636 · (530) 677-4404 · Fax (530) 677-4545
Phone(530) 677-4404
Fax(530) 677-4545
Organization SubpartNo
Authorized OfficialRose-marie Y NietoOwner, Clinical Director · (530) 677-4404
Enumeration DateMay 16, 2007
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPPES CertifiedMarch 7, 2023
✔ NPI 1477760874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License LCS10219 (CA)
970 CAMERADO DR STE 200, Cameron Park, CA 95682
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Other Names 1

Doing Business AsCameron Park Counseling Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cameron Park Counseling Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Cameron Park Counseling Center, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Frank Nieto, MSW
Clinical Social Worker
NPI 1144439746
3330 HEIGHTS DR STE 120
Cameron Park, CA 95682
(530) 677-4404
✔ PECOS✔ Accepts Medicare1.8 mi
Rose-Marie Nieto, LCSW
Clinical Social Worker
NPI 1366671257
3330 HEIGHTS DR STE 120
Cameron Park, CA 95682
(530) 677-4404
✔ PECOS✔ Accepts Medicare1.8 mi
Shama Chaiken, PH.D.
Clinical Psychologist
NPI 1003042763
3330 HEIGHTS DR STE 120
Cameron Park, CA 95682
(530) 677-4404
✔ PECOS✔ Accepts Medicare1.8 mi
Shelly Goscha, LCSW
Clinical Social Worker
NPI 1750711719
5170 GOLDEN FOOTHILL PKWY
El Dorado Hills, CA 95762
(785) 766-1885
✔ PECOS✔ Accepts Medicare5.4 mi
Clarence Hilliard, PSY.D.
Clinical Psychologist
NPI 1508804808
8640 TRINIDAD WAY
Roseville, CA 95747
(916) 984-2131
✔ PECOS✔ Accepts Medicare23 mi
Dorene Fanning, LCSW
Clinical Social Worker
NPI 1831523711
2051 JOHN JONES RD
Davis, CA 95616
(530) 753-3498
✔ PECOS✔ Accepts Medicare43 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Cameron Park Counseling Center, Inc.'s NPI number?

The NPI number for Cameron Park Counseling Center, Inc. is 1477760874. It was assigned to this organization in the NPPES registry on May 16, 2007. The provider is doing business as Cameron Park Counseling Center.

Where is Cameron Park Counseling Center, Inc. located?

Cameron Park Counseling Center, Inc. is located at 970 Camerado Dr Ste 200, Cameron Park, CA 95682. The listed phone number is (530) 677-4404.

What is Cameron Park Counseling Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Cameron Park Counseling Center, Inc. enrolled in Medicare?

Yes. Cameron Park Counseling Center, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cameron Park Counseling Center, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Cameron Park Counseling Center, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (4) and Clinical Psychologist (2). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Cameron Park Counseling Center, Inc. was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.