KENNETH CAMERON – Mental Health Counselor, NPI 1629414750

KENNETH CAMERON is a healthcare provider. based in Altoona, Iowa. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 001356 (IA). The NPI Number for KENNETH CAMERON is 1629414750

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH CAMERON
NPI
1629414750
Phone
(515) 557-0415
Address
423 19TH ST SW
Enumeration Date
15 May 2013
Last Update Date
15 May 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5152822200
Graduation Year
2009 (17 years ago)
PAC ID
2365982808
Group Practice PAC ID
3678466166
Professional Enrollment ID
I20240910004635
Address ID
IA503141548DE1801XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

630 MENTAL HEALTH COUNSELOR in IA

Provider Addresses for KENNETH CAMERON

  • 423 19TH ST SW

    ALTOONA, IA 500095814

    Phone: (515) 557-0415

    Type: Mailing

  • 3804 E 29TH ST

    DES MOINES, IA 503174232

    Phone: (515) 557-0415

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240910004635IMental Health CounselorIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 50009)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678466166View full group profile
NameSpecialtyState
Internal MedicineIA
O B S T E T R I C S/ G Y N E C O L O G YIA
Emergency MedicineIA
Family PracticeIA
-IA
-IA
O P T O M E T R YIA
-IA
O P T O M E T R YIA
-IA

Reviews

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Frequently asked questions

Where can patients find KENNETH CAMERON's NPI?
You can confirm KENNETH CAMERON with NPI 1629414750; it appears in the national provider directory.
Does this profile mean KENNETH CAMERON is currently active?
Yes — KENNETH CAMERON appears active in the national provider directory.
Can you summarize KENNETH CAMERON's specialty in plain language?
Clinically, the directory lists KENNETH CAMERON with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What location shows for KENNETH CAMERON?
We surface Altoona, Iowa for KENNETH CAMERON based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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