Erich C Campbell

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A2310026 Issued in AR

Practice address

910 SE 21St St
Bentonville, AR 72712-9776

Phone

(479) 367-1110

NPI assigned

Oct 26, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698451200000",
    "number": "1013789577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 RAMA ST",
            "city": "CENTERTON",
            "state": "AR",
            "postal_code": "727194033",
            "telephone_number": "417-840-1734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 SE 21ST ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727129776",
            "telephone_number": "479-367-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ERICH",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-28",
        "certification_date": "2023-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A2310026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melina Callaway
• Camp Interventional Pain Associates, PLLC
• Nicholas Benjamin Camp, MD
• Christa Jacqueline Campbell, LMFT, LPC
• David Campbell
• Joanne Michelle Campbell, MHPP
• Daniel Cannon
• Cark Care of Ar, LLC
• Kaitlyn M Carlson
• Myrna C Carlson, MHPP

• All providers in Bentonville, AR
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2023; 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.