Amanda Campbell, LACA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

86900042A Issued in IN

Practice address

4705 Meijer CT
Lafayette, IN 47905-4684

Phone

(765) 701-6060

NPI assigned

Aug 25, 2025

Last updated

Aug 25, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Limestone Health, LLC

  dba MedMark Treatment Centers LaFayette

  • Methadone Clinic
  • Lafayette, IN
  • NPI 1659879187
  NPD (past)

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

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1023996311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 MEIJER CT # 47905",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054684",
            "telephone_number": "765-701-6060",
            "fax_number": "765-701-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 MEIJER CT",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054684",
            "telephone_number": "765-701-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "AMANDA",
        "credential": "LACA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "86900042A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William T Calder, NCBTMB
• Lauren Caldwell, ED.S.
• Hazel Franco Calonia, P.T
• Gabrielle L Camberato
• Bryan M Camp, D.P.M
• Christine A Campbell, MS
• Kellie Lyn Campbell
• Kylie Campbell, CST
• Miah Campbell, RBT
• Sarah Campbell, PA-C

• Addiction (Substance Use Disorder) Counselor in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Addiction (Substance Use Disorder) Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.