JACQUELYN A CAMPBELL LPC NPI 1417469610

NPI Information

NPI: 1417469610
Provider Name: JACQUELYN A CAMPBELL, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
6909 W RAY RD STE 15
CHANDLER, AZ
ZIP 85226
Phone: (234) 716-6408
Get Directions

Jacquelyn A Campbell, LPC is a professional counselor in Chandler, AZ. Jacquelyn A Campbell, LPC NPI is 1417469610. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6909 W RAY RD STE 15
CHANDLER, AZ
ZIP 85226-526
Phone: (234) 716-6408
Fax: (833) 464-3817

The NPI 1417469610 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 10/27/2017 and was last updated on 12/21/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		CP5573-R	NEVADA	No
2	101Y00000X	Counselor		LPC-18602	ARIZONA	No
3	101YM0800X	Counselor	Mental Health	CP5573-R	NEVADA	No
4	101YM0800X	Counselor	Mental Health	LPC-18602	ARIZONA	No
5	101YM0800X	Counselor	Mental Health	C.1700534	OHIO	No
6	101YP2500X	Counselor	Professional	LPC-18602	ARIZONA	Yes
7	101YP2500X	Counselor	Professional			No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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