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CAMILLE DELONG B.S. M.S. LMFT
NPI 1629325097
Marriage & Family Therapist in Salt Lake City, UT

Active since August 05, 2012Opted out of Medicare · through Feb 20, 2028
275 E SOUTH TEMPLE, SUITE 101, SALT LAKE CITY, UT 84111(180) 153-1738 Get Directions Write a Review

NPPES record last updated: August 5, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Camille Delong B.s. M.s. Lmft NPPES

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

CAMILLE DELONG B.S. M.S. LMFT (NPI 1629325097) is an individual marriage & family therapist in Salt Lake City, Utah, licensed in Utah (1142433902) and active in the NPI registry since August 2012. She has opted out of Medicare through February 20, 2028.

NPPES Registry Identity

NPI1629325097
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameCAMILLE DELONGCredential: B.S. M.S. LMFT
Location Address275 E SOUTH TEMPLE, SUITE 101Salt Lake City, UT 84111-1247
Mailing Address812 Sandhurst DrSalt Lake City, UT 84103-2284 · (180) 131-7904 · Fax (180) 136-4368
Phone(180) 153-1738
Sole ProprietorYes
Enumeration DateAugust 5, 2012
✔ NPI 1629325097 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 UT · 1142433902
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.
275 E SOUTH TEMPLE, Salt Lake City, UT 84111
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Camille Delong B.s. M.s. Lmft 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 February 20, 2024 through February 20, 2028.

Opt-Out Effective DateFebruary 20, 2024
Opt-Out In Effect ThroughFebruary 20, 2028Opt-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.

Other Providers at the Same Location NPPES 13

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

JOELLYN ORCUTT MANVILLE MSW, LCSW
Social Worker (Clinical)
275 E SOUTH TEMPLE, STE 202
SLC, UT 84111
Salt Lake County (801) 609-1055
WATERCOURSE WAY WELLNESS SERVICES, LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
275 E SOUTH TEMPLE
SALT LAKE CITY, UT 84111
Salt Lake County (801) 697-9677
MS. AMANDA ANN ANDRUS L.C.S.W.
Social Worker (Clinical)
275 E SOUTH TEMPLE, SUITE 101
SALT LAKE CITY, UT 84111
Salt Lake County (801) 531-7389
TYNDALL BOUNOUS
Social Worker
275 E SOUTH TEMPLE
SALT LAKE CITY, UT 84111
Salt Lake County (801) 550-2731
KATHLEEN FITZWILLIAM LAKEY LCSW
Social Worker (Clinical)
275 E SOUTH TEMPLE, STE 101
SALT LAKE CITY, UT 84111
Salt Lake County (385) 218-8266
DR. PATRICK JOSEPH LEWIS PSYD
Psychologist
275 E SOUTH TEMPLE, STE 150
SALT LAKE CITY, UT 84111
Salt Lake County (314) 398-2351
CAROLYN K SCOTT LCSW PC
Social Worker (Clinical)
275 E SOUTH TEMPLE, SUITE #101
SALT LAKE CITY, UT 84111
Salt Lake County (801) 531-7389
MARYBETH RAYNES LCSW
Social Worker (Clinical)
275 E SOUTH TEMPLE, SUITE 101
SALT LAKE CITY, UT 84111
Salt Lake County (801) 531-7389

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 Delong's NPI number?

The NPI number for Camille Delong is 1629325097. It was assigned to this individual provider in the NPPES registry on August 5, 2012.

Where is Camille Delong located?

Camille Delong practices at 275 E South Temple Suite 101, Salt Lake City, UT 84111. The listed phone number is (180) 153-1738.

What is Camille Delong's specialty?

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

Is Camille Delong enrolled in Medicare?

No. Camille Delong has opted out of Medicare through February 20, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Camille Delong was last updated on August 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.