Individual provider Active NPI

Lela Blue-Campbell, LCPC

  • Mental Health Counselor
  • Baltimore, MD
National Provider Identifier
1013319581
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC5896 Issued in MD
Practice address
800 N Fulton Ave
Baltimore, MD 21217-1425
Phone
(443) 904-8216
Fax
(410) 462-0144
NPI assigned
Sep 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC5896 MD
Mental Health Counselor 101YM0800X LC5896 MD Primary

Addresses

Primary practice location

800 N Fulton Ave
Baltimore, MD 21217-1425

Mailing address

800 N Fulton Ave
Baltimore, MD 21217-1425
Phone (443) 904-8216

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
LC5896MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Campbell and Associates LLC Mental Health Current Accepting new patients
Blue Campbell and Associates LLC CurrentSince Oct 2, 2022 Accepting new patients
The Light of Truth Center PastSince Feb 2, 2020 Accepting new patients

Locations

800 N Fulton Ave
Baltimore, MD 21217
Phone (410) 462-6001

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1013319581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N FULTON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212171425",
            "telephone_number": "443-904-8216",
            "fax_number": "410-462-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N FULTON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212171425",
            "telephone_number": "443-904-8216",
            "fax_number": "410-462-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUE-CAMPBELL",
        "first_name": "LELA",
        "name_prefix": "Prof.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-16",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC5896",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC5896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.