CAMRYN CONRAD-RENTERIA (LCPC) – Professional Counselor, NPI 1801174875
Professional Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,181 MENTAL HEALTH COUNSELOR in OR
Provider Addresses for CAMRYN CONRAD-RENTERIA (LCPC)
702 SUNSET DR
ONTARIO, OR 979143121
Phone: (541) 889-9167
Type: Mailing
1441 NE 10TH AVE
PAYETTE, ID 836615420
Phone: (208) 642-9376
Fax: (208) 642-9598
Type: Mailing
789 WASHINGTON ST W
VALE, OR 979181147
Phone: (541) 473-2101
Fax: (541) 473-2668
Type: Location
2609 S 10TH AVE STE 102
CALDWELL, ID 836056885
Phone: (208) 454-2766
Fax: (208) 454-2771
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: 2024-05-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240501003997 | I | Mental Health Counselor | ID | TBD |
| I20240502002557 | I | Mental Health Counselor | OR | TBD |
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.
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 97914)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | ID | |
| Nurse Practitioner | ID | |
| Physician Assistant | ID | |
| - | OR | |
| Emergency Medicine, Family Practice | OR | |
| Family Practice | ID | |
| Nurse Practitioner | ID | |
| - | ID | |
| - | ID | |
| Physician Assistant | TX |
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