Individual provider Active NPI

Sarah Nicole Campbell, LPC,MFT

  • Professional Counselor
  • Parma, OH
National Provider Identifier
1043727225
Registry record updated Jan 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C.1700789 Issued in OH
Practice address
6753 State Rd
Parma, OH 44134-4517
Phone
(440) 843-5535
Fax
(440) 843-1629
NPI assigned
Jan 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X M.1700046 OH
Professional Counselor 101YP2500X C.1700789 OH Primary

Addresses

Primary practice location

6753 State Rd
Parma, OH 44134-4517

Mailing address

6753 State Rd
Parma, OH 44134-4517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240104004478 OH Practitioner - Mental Health Counselor 4486005337 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.1700789OHMDProfessional Counselor
M.1700046OHMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Pathways Cleveland, LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

30701 Lorain Rd
Ste A
North Olmsted, OH 44070

22255 Center Ridge Rd
Ste 200
Rocky River, OH 44116
Phone (216) 563-1661

22255 Center Ridge Rd
Ste 300
Rocky River, OH 44116
Phone (216) 563-1661

Organizations & group practices 1

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": "1515456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515456000000",
    "number": "1043727225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6753 STATE RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441344517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6753 STATE RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441344517",
            "telephone_number": "440-843-5535",
            "fax_number": "440-843-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "SARAH",
        "middle_name": "NICOLE",
        "credential": "LPC,MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-09",
        "last_updated": "2018-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "M.1700046",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.1700789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

Verify at the official NPI Registry.