Katherine M Campbell, M.A.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

50599 Issued in CA

Practice address

1110 Melody LN Ste 108
Roseville, CA 95678-5137

Phone

(916) 367-3210

NPI assigned

Oct 1, 2008

Last updated

Oct 25, 2013By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382659200000",
    "number": "1144471723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 PAR PL",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956774205",
            "telephone_number": "916-367-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 MELODY LN STE 108",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956785137",
            "telephone_number": "916-367-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "KATHERINE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-01",
        "last_updated": "2013-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 52601",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "50599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharifa Danila Cammack
• Camille Camoro
• Benjamin Campbell, D.O.
• Christopher L Campbell, D.O.
• Grant McKenzie Campbell, MD
• Matthew Campbell
• Trevor David Campbell, DO
• Jasmin Campos
• Campus Commons Physical Therapy
• Dina Marie Canavero, MEDICAL DOCTOR

• Marriage & Family Therapist in Roseville, CA
• Providers in Roseville, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.