Active NPI
Scott Campbell, LPCC, MS ED
- Mental Health Counselor
- Kettering, OH
National Provider Identifier
1093186561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E.1700477-SUPV
- Practice address
- 4609 Presidential Way
Kettering, OH 45429-5765 - Phone
- (326) 202-9292
- NPI assigned
- Oct 9, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | E.1700477-SUPV | OH | Primary |
Addresses
Primary practice location
4609 Presidential Way
Kettering, OH 45429-5765
Mailing address
4609 Presidential Way
Kettering, OH 45429-5765
Phone (326) 202-9292
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E.1700477-SUPV | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744934400000",
"number": "1093186561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4609 PRESIDENTIAL WAY",
"city": "KETTERING",
"state": "OH",
"postal_code": "454295765",
"telephone_number": "326-202-9292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4609 PRESIDENTIAL WAY",
"city": "KETTERING",
"state": "OH",
"postal_code": "454295765",
"telephone_number": "326-202-9292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "SCOTT",
"credential": "LPCC, MS ED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-10-09",
"last_updated": "2025-04-18",
"certification_date": "2025-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E.1700477-SUPV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kettering, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.