Gabriella Campbell, CMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

8336681-6004 Issued in UT

Practice address

746 S Main St
Layton, UT 84041-4229

Phone

(801) 915-2449

NPI assigned

Feb 18, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Authentic Self Counseling, LLC Professional name

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": "1297987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1033416516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5965 S 900 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841211720",
            "telephone_number": "801-263-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "746 S MAIN ST",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840414229",
            "telephone_number": "801-915-2449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5800 S Highland Dr",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841211359",
            "country_code": "US",
            "telephone_number": "801-915-2449",
            "fax_number": "801-915-2449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "GABRIELLA",
        "credential": "CMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "8336681-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUTHENTIC SELF",
            "last_name": "COUNSELING, LLC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Reckell Calhoun
• Brent H Call, PHARMD
• Taylor Call
• Victoria Camer
• Amaia Campbell
• Gavin Campbell
• Joshua Ray Campbell, LMFT
• Katryna T. Campbell
• Kerrie Lynn Campbell
• Terrell R Campbell II

• Mental Health Counselor in Layton, UT
• Providers in Layton, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.