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CAMILLE DEBRUIN
NPI 1609639905
Marriage & Family Therapist in Pismo Beach, CA

Active since January 31, 2024PECOS EnrolledAccepts Medicare Assignment
310 JAMES WAY STE 150, PISMO BEACH, CA 93449(805) 769-8922 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Camille Debruin NPPES

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

CAMILLE DEBRUIN (NPI 1609639905) is an individual marriage & family therapist in Pismo Beach, California, licensed in California (142606) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1609639905
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameCAMILLE DEBRUIN
Location Address310 JAMES WAY STE 150Pismo Beach, CA 93449-2877
Mailing Address11395 Eliano StAtascadero, CA 93422-6159
Phone(805) 769-8922
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJanuary 31, 2024
NPPES CertifiedJanuary 31, 2024
✔ NPI 1609639905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 142606
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
310 JAMES WAY STE 150, Pismo Beach, CA 93449
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Camille Debruin is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254816168
PECOS Enrollment IDI20260330000821
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Camille Debruin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Blue Sky Psychology Group, Inc.
23 mi
Clinical
9700 EL CAMINO REAL STE 300
Atascadero, CA 93422
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1710782842 (805) 975-5013

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

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGAN RICHERT, LICENSED CLINICAL SOCIAL WORKER, INC
Clinic/Center (Adult Mental Health)
310 JAMES WAY STE 150
PISMO BEACH, CA 93449
San Luis Obispo County (805) 774-0656
DR. DENISE DRITSAS PSY.D.
Psychologist
310 JAMES WAY STE 150
PISMO BEACH, CA 93449
San Luis Obispo County (805) 586-3250
LINDSAY MAY BECK AMFT, APCC
Marriage & Family Therapist
310 JAMES WAY STE 150
PISMO BEACH, CA 93449
San Luis Obispo County (805) 242-2990
JENNIFER MARIE-CAROLINE ROGEZ
Counselor (Mental Health)
310 JAMES WAY STE 150
PISMO BEACH, CA 93449
San Luis Obispo County (805) 292-0472

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 Debruin's NPI number?

The NPI number for Camille Debruin is 1609639905. It was assigned to this individual provider in the NPPES registry on January 31, 2024.

Where is Camille Debruin located?

Camille Debruin practices at 310 James Way Ste 150, Pismo Beach, CA 93449. The listed phone number is (805) 769-8922.

What is Camille Debruin's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Camille Debruin enrolled in Medicare?

Yes. Camille Debruin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Camille Debruin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Camille Debruin reassigns Medicare benefits to Blue Sky Psychology Group, Inc. (Atascadero, CA). The 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 Camille Debruin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Camille Debruin was last updated on January 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.