Individual provider Active NPI

Lakesha Roshawn Campbell

  • Counselor
  • Riverside, CA
National Provider Identifier
1003581414
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
5729 Vista del Caballero
Riverside, CA 92509-6423
Phone
(951) 788-2972
NPI assigned
Aug 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

5729 Vista del Caballero
Riverside, CA 92509-6423

Mailing address

6235 River Crest Dr Ste O
Riverside, CA 92507-0758
Phone (951) 653-7561

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

Practice roles

OrganizationSpecialtyStatusNew patients
Plan-It Life, Inc. CurrentSince Aug 15, 2021 Accepting new patients
Plan-It Life, Inc. CurrentSince Aug 15, 2021 Accepting new patients
Plan-It Life, Inc. PastSince Aug 15, 2021 Accepting new patients

Locations

6235 River Crest Dr
Ste O
Riverside, CA 92507
Phone (951) 452-2711

Organizations & group practices 3

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": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1003581414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6235 RIVER CREST DR STE O",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070758",
            "telephone_number": "951-653-7561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5729 VISTA DEL CABALLERO",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925096423",
            "telephone_number": "951-788-2972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "LAKESHA",
        "middle_name": "ROSHAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-09",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.