Active NPI
Annie Campanaro, LPC
- Professional Counselor
- Palmer Lake, CO
National Provider Identifier
1013071703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3976
- Practice address
- 755 Highway 105
Suite 2-E
Palmer Lake, CO 80133-9039 - Phone
- (719) 358-1010
- Fax
- (717) 578-9445
- NPI assigned
- Dec 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3976 | CO | Primary |
Addresses
Primary practice location
755 Highway 105
Suite 2-E
Palmer Lake, CO 80133-9039
Mailing address
PO Box 60852
Colorado Springs, CO 80960-0852
Phone (719) 578-9445
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3976 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481068800000",
"number": "1013071703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60852",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809600852",
"telephone_number": "719-578-9445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 HIGHWAY 105",
"address_2": "SUITE 2-E",
"city": "PALMER LAKE",
"state": "CO",
"postal_code": "801339039",
"telephone_number": "719-358-1010",
"fax_number": "717-578-9445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPANARO",
"first_name": "ANNIE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-20",
"last_updated": "2016-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "3976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palmer Lake, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.