Emily M Campbell, LPC

Individual provider Active NPI Professional Counselor · Prairie Du Sac, WI

NPI 1174072284 · NPPES record last updated Mar 10, 2026

Key facts

NPI
1174072284
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
6963-125 (WI)
Practice address
50 Prairie Ave
Prairie Du Sac, WI 53578-1541
Phone
(608) 643-3147
Fax
(608) 643-3178
NPI assigned
Sep 30, 2016
Sex
Female
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Service Associates, SC (34 clinicians)

Practice addresses (Care Compare)

2702 International LN
Madison, WI 53704-3117
Phone (608) 742-5518

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20231227001336 WI Practitioner - Mental Health Counselor 9638529092 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6963-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Service Associates, SC Current
since Jan 1, 2024
Accepting new patients

Locations

1002 Lincoln Ave
Baraboo, WI 53913
Phone (608) 356-9055

2702 International Ln
Ste 102
Madison, WI 53704
Phone (608) 280-2636

2702 International Ln
Madison, WI 53704
Phone (608) 405-5712

2901 Hunters Trl
Portage, WI 53901
Phone (608) 742-5518

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6963-125 WI Yes

Addresses

Primary practice location

50 Prairie Ave
Prairie Du Sac, WI 53578-1541

Mailing address

1002 Lincoln Ave
Baraboo, WI 53913-1808
Phone (608) 356-9055

Other practice location 1

2702 International Ln Ste 102
Madison, WI 53704-3117
Phone (608) 405-5712

Other identifiers

IdentifierTypeStateIssuer
1174072284MedicaidWI

Other names

  • Emily M Silva Former name

Other providers in Prairie Du Sac, WI

All providers in Prairie Du Sac, WI · Professional Counselor in Wisconsin

Sources for this page

Verify at the official NPI Registry.