Active NPI
Chevella Joynell Campbell, LCDC
- Addiction (Substance Use Disorder) Counselor
- Dallas, TX
National Provider Identifier
1144810094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 15596
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 15596 | TX | MD | Music Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Your Discovery Place Inc | Current | Accepting new patients | |
| Guiding Minds Ministries LLC | Current | 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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Dallas, TX
- NPI 1154867166
-
- Children's Substance Abuse Rehabilitation Facility
- Dallas, TX
- NPI 1578189940
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.