Individual provider Active NPI

Andrea Campbell, LMFT-T

  • Marriage & Family Therapist
  • Kansas City, KS
National Provider Identifier
1093599862
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
03502-T Issued in KS
Practice address
7840 Washington Ave
Kansas City, KS 66112-2152
Phone
(913) 563-6500
Fax
(913) 328-4604
NPI assigned
Aug 23, 2023
Last updated
Nov 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 03502-T KS Primary

Addresses

Primary practice location

7840 Washington Ave
Kansas City, KS 66112-2152

Mailing address

1432 N 64TH St
Kansas City, KS 66102-1114
Phone (210) 780-2278

Other practice location 1

1432 N 64th St
Kansas City, KS 66102-1114
Phone (210) 780-2278

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250521003071 KS Practitioner - Marriage and Family Therapist 3678092756 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03502-TKSMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wyandot Center for Community Behavioral Healthcare, Inc. CurrentSince Mar 3, 2025 Accepting new patients
Wyandot Center for Community Behavioral Healthcare, Inc. Past Accepting new patients

Locations

1301 N 47th St
Kansas City, KS 66102
Phone (913) 287-0007

757 Armstrong Ave
Kansas City, KS 66101

7840 Washington Ave
Kansas City, KS 66112
Phone (913) 328-4600

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1093599862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 N 64TH ST",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661021114",
            "telephone_number": "210-780-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7840 WASHINGTON AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661122152",
            "telephone_number": "913-563-6500",
            "fax_number": "913-328-4604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1432 N 64th St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661021114",
            "country_code": "US",
            "telephone_number": "210-780-2278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ANDREA",
        "name_prefix": "Mrs.",
        "credential": "LMFT-T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "03502-T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.