Individual provider Active NPI

Rebecca Campbell, LPC

  • Professional Counselor
  • Youngstown, OH
National Provider Identifier
1154867141
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C.1000382 Issued in OH
Practice address
550 W Chalmers Ave
Youngstown, OH 44511-1576
Phone
(330) 797-0070
NPI assigned
Jan 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C.1000382 OH Primary

Addresses

Primary practice location

550 W Chalmers Ave
Youngstown, OH 44511-1576

Mailing address

527 N Meridian Rd
Youngstown, OH 44509-1227
Phone (330) 797-0074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20241023000865 IN Practitioner - Mental Health Counselor 0840723383 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.1000382OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Spero Health of Indiana, LLC CurrentSince Aug 18, 2024 Accepting new patients

Locations

1351 W 11th Ave
Gary, IN 46402

7750 Madison Ave
Indianapolis, IN 46227
Phone (317) 888-2827

8202 Clearvista Pkwy
Indianapolis, IN 46256
Phone (317) 288-9942

1820 E 10th St
Jeffersonvlle, IN 47130
Phone (812) 282-6311

3700 N Briarwood Ln
Ste A
Muncie, IN 47304
Phone (765) 273-4281

155 Franklin Rd
Ste 430
Brentwood, TN 37027
Phone (615) 265-0359

Organizations & group practices 1

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": "1484265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1154867141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 N MERIDIAN RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445091227",
            "telephone_number": "330-797-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W CHALMERS AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445111576",
            "telephone_number": "330-797-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "REBECCA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-13",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.1000382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.