Sharolyn R Campbell

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Rowland, NC

NPI 1043984040 · NPPES record last updated Dec 29, 2022

Key facts

NPI
1043984040
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
LCAS-A27301 (NC)
Practice address
310 South MLK Jr Street
310 MLK Jr Street
Rowland, NC 28383-2838
Phone
(191) 028-0545
NPI assigned
Aug 3, 2021
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LCAS-A27301NCMDAddiction (Substance Use Disorder) Counselor
LCAS27301NCMDAddiction (Substance Use Disorder) Counselor
27301NCMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Health Family Practice Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21786/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Addiction (Substance Use Disorder) Counselor 101YA0400X 27301 NC
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS27301 NC
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-A27301 NC Yes

Addresses

Primary practice location

310 South MLK Jr Street
310 MLK Jr Street
Rowland, NC 28383-2838

Mailing address

PO Box 493
Rowland, NC 28383-0493
Phone (191) 028-0545

Other providers in Rowland, NC

All providers in Rowland, NC · Addiction (Substance Use Disorder) Counselor in North Carolina

Sources for this page

Verify at the official NPI Registry.