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CAMILLE NIXON LLC
NPI 1932741501
Counselor - Professional in Grand Rapids, MI

Active since October 15, 2019
790 FULLER AVE NE, GRAND RAPIDS, MI 49503(616) 336-3909(616) 336-8830 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 19, 2026, Oct 15, 2019 (2 updates tracked since 2019).

About Camille Nixon Llc NPPES

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

CAMILLE NIXON LLC (NPI 1932741501) is an individual professional provider in Grand Rapids, Michigan, licensed in Michigan (6451024907) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1932741501
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCAMILLE NIXONCredential: LLC
Location Address790 FULLER AVE NEGrand Rapids, MI 49503-1918
Mailing Address790 Fuller Ave NeGrand Rapids, MI 49503-1918 · (616) 336-3909 · Fax (616) 336-8830
Phone(616) 336-3909
Fax(616) 336-8830
Sole ProprietorNo
Enumeration DateOctober 15, 2019
Last NPPES UpdateMarch 19, 20262 updates tracked since enumeration
NPPES CertifiedMarch 19, 2026
✔ NPI 1932741501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6451024907
Also ListedBehavior TechnicianTaxonomy 106S00000X
790 FULLER AVE NE, Grand Rapids, MI 49503
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Other Providers at the Same Location NPPES 20

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

DIANA DUARTE-MENENDEZ LMSW
Social Worker (Clinical)
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 336-3909
MISS JALISA SHAWTAE SMITH LLMSW
Case Manager/Care Coordinator
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 336-3909
MACKENZIE ERIN CLEGG
Behavior Analyst
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 336-3909
MRS. ALEITA A BROWN LLBSW
Case Manager/Care Coordinator
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 825-5412
ANNIKA KNOTT LMSW
Social Worker (Clinical)
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 724-6942
VIOLET RAMAGE
Case Manager/Care Coordinator
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (734) 493-2978
DAVID G MARSHALL LPC
Counselor (Professional)
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 336-3909
DAWN MARIE MACDONALD LLMSW
Social Worker
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Kent County (616) 336-3909

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 Nixon's NPI number?

The NPI number for Camille Nixon is 1932741501. It was assigned to this individual provider in the NPPES registry on October 15, 2019.

Where is Camille Nixon located?

Camille Nixon practices at 790 Fuller Ave NE, Grand Rapids, MI 49503. The listed phone number is (616) 336-3909.

What is Camille Nixon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Camille Nixon was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.