CAMILLE A LEWIS
NPI 1912357245
Counselor - Mental Health in Waldorf, MD
About Camille A Lewis NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAMILLE A LEWIS (NPI 1912357245) is an individual mental health provider in Waldorf, Maryland, licensed in Maryland (LC8097) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
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 A Lewis 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.
Medicare Billing Reassignments
2Medicare enrollment records show Camille Lewis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Waldorf, MD 20601
- Reassigned Medicare billing, Maryland enrollment
- Medicare enrollment name: Revive Therapeutic Services LLC
Riverdale, MD 20737
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 78 clinicians in this Medicare group
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 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WALDORF, MD 20601
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 Lewis's NPI number?
The NPI number for Camille Lewis is 1912357245. It was assigned to this individual provider in the NPPES registry on June 17, 2016.
Where is Camille Lewis located?
Camille Lewis practices at 2255 Crain Hwy, Waldorf, MD 20601. The listed phone number is (301) 276-1151.
What is Camille Lewis's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Camille Lewis enrolled in Medicare?
Yes. Camille Lewis 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 organizations bill Medicare for Camille Lewis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Camille Lewis reassigns Medicare benefits to 2 organizations: Revive Therapeutic Counseling Services (Waldorf, MD) and Supportive Care Of Maryland LLC (Riverdale, MD). Each 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 Lewis'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 Lewis was last updated on October 30, 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.
# Camille A Lewis · NPI 1912357245
Mental Health provider in Waldorf, Maryland. Individual provider, active in the CMS NPPES registry since June 17, 2016.
## Identity
- **NPI:** 1912357245 (Entity type: Individual)
- **Enumerated:** June 17, 2016
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LC8097 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 2255 CRAIN HWY, Waldorf, MD 20601-3164
- **Phone:** (301) 276-1151 · **Fax:** (301) 923-1329
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Revive Therapeutic Counseling Services (NPI 1609503192, Waldorf, MD); Supportive Care Of Maryland LLC (NPI 1447802616, Riverdale, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** October 30, 2025
- **Other identifiers:** Medicaid 999013501 (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1912357245) · Data from the CMS NPPES public registry.