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CAMILLE FORD
NPI 1619346632
Counselor in Grand Haven, MI

Active since September 21, 2015PECOS Enrolled
12511 152ND AVE, GRAND HAVEN, MI 49417(616) 844-0906 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 21, 2025, Aug 20, 2019 (2 updates tracked since 2019).

About Camille Ford NPPES

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

CAMILLE FORD (NPI 1619346632) is an individual counselor in Grand Haven, Michigan and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Westerville, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1619346632
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameCAMILLE FORD
Location Address12511 152ND AVEGrand Haven, MI 49417
Mailing Address12511 152nd AveGrand Haven, MI 49417 · (616) 844-0906 · Fax (614) 355-2220
Phone(616) 844-0906
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 21, 2015
Last NPPES UpdateNovember 21, 20252 updates tracked since enumeration
NPPES CertifiedNovember 21, 2025
✔ NPI 1619346632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
12511 152ND AVE, Grand Haven, MI 49417
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Secondary Practice Location 1

Location 1187 W Schrock RdWesterville, OH 43081-2890 · Phone (614) 355-7500 · Fax (614) 355-7533

Other Identifiers 1

Medicaid2846675OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Camille Ford is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426540923
PECOS Enrollment IDI20251121004038
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 Ford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Out Side In, Inc.
Same address
Clinical
12511 152ND AVENUE
Grand Haven, MI 49417
  • Reassigned Medicare billing, Michigan enrollment
  • 13 clinicians in this Medicare group
NPI 1922306323 (616) 844-0906

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.

JULIA AUDE
Social Worker (Clinical)
12511 152ND AVE
GRAND HAVEN, MI 49417
Ottawa County (616) 844-0906
CARLY FARMER LMSW
Social Worker (Clinical)
12511 152ND AVE
GRAND HAVEN, MI 49417
Ottawa County (616) 844-0906
MS. LIZABETH ANNE SPERRY LLMSW
Social Worker (Clinical)
12511 152ND AVE
GRAND HAVEN, MI 49417
Ottawa County (616) 422-0237
SYDNEY TAYLOR ANHALT LLPC
Counselor (Professional)
12511 152ND AVE
GRAND HAVEN, MI 49417
Ottawa County (616) 844-0906

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 Ford's NPI number?

The NPI number for Camille Ford is 1619346632. It was assigned to this individual provider in the NPPES registry on September 21, 2015.

Where is Camille Ford located?

Camille Ford practices at 12511 152nd Ave, Grand Haven, MI 49417. The listed phone number is (616) 844-0906.

What is Camille Ford's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Camille Ford enrolled in Medicare?

Yes. Camille Ford is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Camille Ford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Camille Ford reassigns Medicare benefits to Out Side In, Inc. (Grand Haven, MI). 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 Ford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Camille Ford accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Camille Ford 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 Ford was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.