Individual provider Active NPI

Brooke Campbell, LPC

  • Professional Counselor
  • Moorestown, NJ
National Provider Identifier
1003492521
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00736600 Issued in NJ
Practice address
115 N Church St Ste 1
Moorestown, NJ 08057-2493
Phone
(856) 200-8203
NPI assigned
Mar 23, 2021
Last updated
Mar 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00736600 NJ Primary

Addresses

Primary practice location

115 N Church St Ste 1
Moorestown, NJ 08057-2493

Mailing address

115 N Church St Ste 1
Moorestown, NJ 08057-2493
Phone (856) 200-8203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37PC00736600NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Chrysalis Counseling Center Professional CurrentSince Oct 27, 2024 Accepting new patients

Locations

115 N Church St
Ste 1
Moorestown, NJ 08057
Phone (609) 225-4885

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1003492521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N CHURCH ST STE 1",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080572493",
            "telephone_number": "856-200-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N CHURCH ST STE 1",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080572493",
            "telephone_number": "856-200-8203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "BROOKE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00736600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.