Organization Active NPI

Jennifer Campbell LCSW, Lcac

  • Community/Behavioral Health Agency
  • Greenwood, IN
National Provider Identifier
1073370078
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
JENNIFER CAMPBELL LCSW, LCAC
Practice address
505 N Meridian St
Greenwood, IN 46143-1256
Phone
(317) 447-8186
Fax
(317) 534-3999
NPI assigned
Mar 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Authorized official

Name
Mrs. Jennifer A Campbell, LCSW, LCACNPI 1770846024
Title
Social Worker
Phone
(131) 744-7818

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

505 N Meridian St
Greenwood, IN 46143-1256

Mailing address

877 Sable Ridge Dr
Greenwood, IN 46142-9767
Phone (317) 447-8186

Other names 1

  • campbell counseling Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1073370078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 SABLE RIDGE DR",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461429767",
            "telephone_number": "317-447-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N MERIDIAN ST",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431256",
            "telephone_number": "317-447-8186",
            "fax_number": "317-534-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER CAMPBELL LCSW, LCAC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "131-744-7818",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW, LCAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "campbell counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.