Individual provider Active NPI

Chevella Joynell Campbell, LCDC

  • Addiction (Substance Use Disorder) Counselor
  • Dallas, TX
National Provider Identifier
1144810094
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
15596 Issued in TX
Practice address
3911 S Lancaster Rd Ste 100
Dallas, TX 75216-5682
Phone
(214) 613-6999
Fax
(214) 382-0323
NPI assigned
Jan 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 15596 TX Primary

Addresses

Primary practice location

3911 S Lancaster Rd Ste 100
Dallas, TX 75216-5682

Mailing address

PO Box 398406
Dallas, TX 75339-8406
Phone (214) 613-6999

Other practice location 1

3155 S Lancaster Rd Ste 200
Dallas, TX 75216-4586
Phone (214) 613-6999

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@guidingmindsllc.com

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

LicenseStateTypeSpecialty
15596TXMDMusic Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Your Discovery Place Inc CurrentSince Jan 1, 2021 Accepting new patients
Guiding Minds Ministries LLC CurrentSince Jan 31, 2021 Accepting new patients

Locations

3155 S Lancaster Rd
Ste 200
Dallas, TX 75216
Phone (214) 613-6999

3911 S Lancaster Rd
Ste 100
Dallas, TX 75216
Phone (214) 613-6999

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1144810094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 398406",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753398406",
            "telephone_number": "214-613-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 S LANCASTER RD STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752165682",
            "telephone_number": "214-613-6999",
            "fax_number": "214-382-0323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3155 S Lancaster Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752164586",
            "country_code": "US",
            "telephone_number": "214-613-6999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "CHEVELLA",
        "middle_name": "JOYNELL",
        "name_prefix": "Mrs.",
        "credential": "LCDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "15596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@guidingmindsllc.com",
            "affiliation": "N",
            "address_1": "3155 S Lancaster Rd Ste 200",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752164586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.