Kimberly Brown Campbell, LCPC,ATR

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1339-LCPC Issued in MT

Practice address

235 North 1St Street West
Zootown Arts Community Center
Missoula, MT 59802-3661

Phone

(406) 396-6565

NPI assigned

Jan 29, 2009

Last updated

Dec 2, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

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

Specialty

Mental Health Counselor

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kimberly Brown Campbell, Edd, LCPC, Atr, Inc

  • Professional Counselor
  • Missoula, MT
  • NPI 1740643758
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322784000000",
    "number": "1093953036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 EAST PINE STREET",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024635",
            "telephone_number": "406-396-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 NORTH 1ST STREET WEST",
            "address_2": "ZOOTOWN ARTS COMMUNITY CENTER",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598023661",
            "telephone_number": "406-396-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "KIMBERLY",
        "middle_name": "BROWN",
        "name_prefix": "Ms.",
        "credential": "LCPC,ATR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-29",
        "last_updated": "2011-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "1339-LCPC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia A Camel
• Audrey Campbell
• Danielle Campbell, SWLC
• Julie Ann Campbell, MD
• Kendra Lynn Campbell, C.M.T
• Delia C Campfield, PHD
• Nathaniel Zeke Campfield
• Roy W. Campfield
• Stacie Leigh Campo, MD
• Zachary A Cannada, LAC

• Mental Health Counselor in Missoula, MT
• Providers in Missoula, MT by specialty
• Mental Health Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.