Andrea Campbell, LMFT-T
Individual provider Active NPI Marriage & Family Therapist · Kansas City, KS
NPI 1093599862 · NPPES record last updated Nov 21, 2023
Key facts
- NPI
- 1093599862
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 03502-T (KS)
- Practice address
- 7840 Washington Ave
Kansas City, KS 66112-2152 - Phone
- (913) 563-6500
- Fax
- (913) 328-4604
- NPI assigned
- Aug 23, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250521003071 | KS | Practitioner - Marriage and Family Therapist | 3678092756 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03502-T | KS | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wyandot Center for Community Behavioral Healthcare, Inc. | Current |
Accepting new patients | |
| Wyandot Center for Community Behavioral Healthcare, Inc. | Past | Accepting new patients |
Locations
7840 Washington Ave
Kansas City, KS 66112
Phone (913) 328-4600
757 Armstrong Ave
Kansas City, KS 66101
1301 N 47th St
Kansas City, KS 66102
Phone (913) 287-0007
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 03502-T | KS | Yes |
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
Other providers in Kansas City, KS
- Paul J Camarata
- Aunya Marie Cameron
- Tracie Lynn Camlin
- Camp Carver
- Kaylan Campain
- Chantille Campbell
- Christine J Campbell
- Cole Campbell
- Jan L Campbell
- Kimberly Sue Campbell
All providers in Kansas City, KS · Marriage & Family Therapist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.