Provider Demographics
NPI:1184486821
Name:TOEPFER, CAMERON (BS, BHT3)
Entity type:Individual
Prefix:
First Name:CAMERON
Middle Name:
Last Name:TOEPFER
Suffix:
Gender:M
Credentials:BS, BHT3
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4515 S MCCLINTOCK DR STE 114
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-7381
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:602-900-0969
Practice Address - Street 1:4515 S MCCLINTOCK DR STE 114
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-7381
Practice Address - Country:US
Practice Address - Phone:480-641-1165
Practice Address - Fax:602-900-0969
Is Sole Proprietor?:No
Enumeration Date:2024-01-29
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZBS101Y00000X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ125011Medicaid
CSLG13230OtherARIZONA DEPARTMENT OF HEALTH SERVICES
AZ125011Medicaid
AZ1043982747OtherHEALING HARTZE ORGANIZATIONAL NPI