P Praxis·MD
● Active Type 1 · Individual

MR. Willie Roy Cameron, LPC

Counselor·Riverdale, GA· NPI 1588879803 · Enumerated 2007 · 19 years on NPI
Cameron is 1 of 18 counselor providers in Riverdale and 1 of 7547 in Georgia.
NPI age
19 years
Enumerated 2007-05-11
Primary specialty
Counselor
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-05-16
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 7547 active counselor providers in Georgia.

NPI age
19 years
↑ 10 yr above median (9 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-05Enumerated in NPPES
2007 2026

Where they practice

Practice location
804 Commerce Blvd, Ste-A12-14
Riverdale, GA 302967198
📞 7709948960fax 7709948967
Mailing address
124 S Main St Ste 2032h
Jonesboro, GA 302363599
📞 6784357212

Specialties

  • Counselor Primary
    Definition to come...
    GA license #LPC004463 taxonomy 101YP2500X

Practice context

Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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