1. Home
  2. Directory
  3. Michigan
  4. Grand Haven
  5. Counselor
  6. NPI Profile

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: August 23, 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 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
Open in Google Maps ↗

Other Identifiers 1

Medicaid2846675OH

Medicare Participation & PECOS CMS

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

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.

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.

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 9 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.