Owl Moon Mental Health

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

OWL MOON MENTAL HEALTH

Practice address

205 West 2ND Street
Duluth, MN 55802

Phone

(218) 300-2547

NPI assigned

Oct 23, 2023

Organization subpart

No

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

Authorized official

Name

Zachary J Campbell, LPCCNPI 1619119641

Title

Owner

Phone

(612) 250-4016

Specialties & licenses 1

Addresses

Other names 1

• Zachary Campbell Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Zachary Joseph Campbell

  • Mental Health Counselor
  • Duluth, MN
  • NPI 1619119641
  NPD Authorized official

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1053183178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 WEST 2ND STREET",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "55802",
            "telephone_number": "218-300-2547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WEST 2ND STREET",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "55802",
            "telephone_number": "218-300-2547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWL MOON MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-250-4016",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zachary Campbell",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Outlook Therapy LLC
• Stacy Overby, LADC
• Heather Marie Overland, APRN, CRNA
• Kimberly Overlie, MSED, LPC
• Mary Ellen Owens, CNP
• Oxygen, Respiratory & Medical Equip, Inc
• P J Noss Corporation
• P.L. Lukovsky Chiropractic Clinic P.a.
• Miranda Pacheco
• Amy Therese Packer, A.U.D.

• Community/Behavioral Health Agency in Duluth, MN
• Providers in Duluth, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.