Active NPI
Brittany Kristine Campbell, LPC-LT
- Professional Counselor
- Wauwatosa, WI
National Provider Identifier
1104288711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2321-226
- Practice address
- 2300 N Mayfair Rd
Suite 425
Wauwatosa, WI 53226 - Phone
- (414) 727-4455
- Fax
- (414) 727-4690
- NPI assigned
- Mar 23, 2016
- Last updated
- Mar 23, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2321-226 | WI | Primary |
Addresses
Primary practice location
2300 N Mayfair Rd
Suite 425
Wauwatosa, WI 53226
Mailing address
560 4TH Street
Prairie Du Sac, WI 53578
Phone (608) 643-3663
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2321-226 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Redi Clinic of Wauwatosa, SC | Past | Accepting new patients | |
| Pathway to Wellness Community Clinic SC | Past | Accepting new patients |
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.
-
- Clinical Social Worker
- Prairie Du Sac, WI
- NPI 1528413739
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wauwatosa, WI
- NPI 1043228505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458691200000",
"number": "1104288711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 4TH STREET",
"city": "PRAIRIE DU SAC",
"state": "WI",
"postal_code": "53578",
"telephone_number": "608-643-3663",
"fax_number": "608-643-5014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 N MAYFAIR RD",
"address_2": "SUITE 425",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "53226",
"telephone_number": "414-727-4455",
"fax_number": "414-727-4690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "BRITTANY",
"middle_name": "KRISTINE",
"name_prefix": "Ms.",
"credential": "LPC-LT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-23",
"last_updated": "2016-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "2321-226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.