Individual provider Active NPI

Allison J Campbell, MS ,LCPC

  • Mental Health Counselor
  • Miles City, MT
National Provider Identifier
1043937279
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
BBH-LCPC-LIC-57550 Issued in MT
Practice address
2911 Wilson St
Miles City, MT 59301-5722
Phone
(406) 234-2929
NPI assigned
Oct 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X BBH-LCPC-LIC-57550 MT Primary

Addresses

Primary practice location

2911 Wilson St
Miles City, MT 59301-5722

Mailing address

914 S Lake Ave
Miles City, MT 59301-4535
Phone (406) 853-3041

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address acampbell@direct.practicefusion.com Direct
Direct Messaging Address acampbell@direct.practicefusion.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20240806002444 MT Practitioner - Mental Health Counselor 4284171489 Practice locations: Miles City, MT

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2200 Box Elder St
Suite 120
Miles City, MT 59301-5930
Phone (406) 853-3041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
BBH-LCPC-LIC-57550MTMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1043937279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 S LAKE AVE",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "593014535",
            "telephone_number": "406-853-3041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 WILSON ST",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "593015722",
            "telephone_number": "406-234-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ALLISON",
        "middle_name": "J",
        "name_prefix": "Miss",
        "credential": "MS ,LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "BBH-LCPC-LIC-57550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acampbell@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "direct message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2911 Wilson St",
            "city": "Miles City",
            "state": "MT",
            "country_code": "US",
            "postal_code": "593015722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acampbell@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "direct message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2911 Wilson St",
            "city": "Miles City",
            "state": "MT",
            "country_code": "US",
            "postal_code": "593015722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miles City, MT

Sources for this page

Verify at the official NPI Registry.