CAMILLE FAYE WEAS (MA) – Mental Health Counselor, NPI 1770022535

CAMILLE FAYE WEAS (MA) is a healthcare provider. based in Minneapolis, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MA. They hold a License No. 1817 (MN). The NPI Number for CAMILLE FAYE WEAS (MA) is 1770022535

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
CAMILLE FAYE WEAS (MA)
NPI
1770022535
Phone
(612) 790-5767
Address
3810 W 31ST ST APT 304
Enumeration Date
13 February 2017
Last Update Date
17 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6123093659
Graduation Year
2016 (10 years ago)
PAC ID
2860937000
Group Practice PAC ID
2567905508
Professional Enrollment ID
I20240712000683
Address ID
MN554165326MI3810XSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

Provider Addresses for CAMILLE FAYE WEAS (MA)

  • 3810 W 31ST ST APT 304

    MINNEAPOLIS, MN 554165326

    Phone: (612) 790-5767

    Fax: (763) 205-3702

    Type: Mailing

  • 8085 WAYZATA BLVD STE 212

    GOLDEN VALLEY, MN 554261457

    Phone: (612) 790-5767

    Fax: (763) 205-3702

    Type: Location

  • 15800, 17th Place North, Plymouth, Hennepin County, Minnesota, 55447, United States

    PLYMOUTH, MN 554476438

    Phone: (612) 790-5767

    Fax: (952) 767-3028

    Type: Mailing

  • 7525, Mitchell Road, Eden Prairie, Hennepin County, Minnesota, 55344, United States

    SUITE 310

    EDEN PRAIRIE, MN 553441959

    Phone: (612) 790-5767

    Fax: (952) 767-3028

    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: 2024-07-12

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
I20240712000683IMental Health CounselorMNTBD

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 55416)

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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: 2567905508View full group profile
NameSpecialtyState
Mental Health CounselorMN

Reviews

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Frequently asked questions

What number should I use to identify CAMILLE FAYE WEAS (MA) for billing?
Administrative and clinical systems typically use NPI 1770022535 for CAMILLE FAYE WEAS (MA).
Quick check: is CAMILLE FAYE WEAS (MA) active?
Public NPPES data shows CAMILLE FAYE WEAS (MA) with an active NPI status right now.
What services align with CAMILLE FAYE WEAS (MA)'s listing?
CAMILLE FAYE WEAS (MA)'s public classification highlights Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What city is tied to CAMILLE FAYE WEAS (MA)?
The directory associates CAMILLE FAYE WEAS (MA) with Minneapolis, Minnesota. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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