Lisette Trevino Campbell, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP4334 Issued in ME

Practice address

22 Bramhall St
Portland, ME 04102-3134

Phone

(207) 662-4892

NPI assigned

Jun 11, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lisette Michelle Trevino Former name

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mainehealth

  • Psychiatric Hospital
  • Westbrook, ME
  • NPI 1790265502
  Medicare reassignment NPD
• Mainehealth

  • Community/Retail Pharmacy
  • Portland, ME
  • NPI 1013868181
  NPD
• Mainehealth

  • Family Medicine Physician
  • Wiscasset, ME
  • NPI 1750861530
  NPD
• Mainehealth

  • Clinic/Center
  • Portland, ME
  • NPI 1487346722
  NPD (past)
• Mainehealth

  • General Acute Care Hospital
  • Farmington, ME
  • NPI 1558305847
  NPD (past)
• Mainehealth

  • Family Medicine Physician
  • Portland, ME
  • NPI 1629761978
  NPD (past)

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1073355012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 BRAMHALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023134",
            "telephone_number": "207-662-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BRAMHALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023134",
            "telephone_number": "207-662-4892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "92 Campus Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Scarborough",
            "state": "ME",
            "postal_code": "040747229",
            "country_code": "US",
            "telephone_number": "207-662-5143",
            "fax_number": "207-661-8104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "LISETTE",
        "middle_name": "TREVINO",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-11",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP4334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISETTE",
            "last_name": "TREVINO",
            "middle_name": "MICHELLE",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Campbell
• Jinni-Mae Campbell, LMSW-CC
• John J Campbell III, MD
• Katherine Harper Campbell, MD
• Lindsey Catherine Campbell, RN
• Mary Wood Campbell, RN
• Nancy C Campbell, LCSW
• Robert Campbell III, DC, DACNB
• Matthew R Camuso, MD
• Cynthia Canales, LCSW

• Speech-Language Pathologist in Portland, ME
• Providers in Portland, ME by specialty
• Speech-Language Pathologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.