Individual provider Active NPI

Faith Campbell, MS, LCMHCA, NCC

  • Mental Health Counselor
  • Wilmington, NC
National Provider Identifier
1194568741
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A20121 Issued in NC
Practice address
5002 Randall Pkwy Ste 101
Wilmington, NC 28403-2845
Phone
(910) 363-6909
NPI assigned
Jun 13, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A20121 NC Primary

Addresses

Primary practice location

5002 Randall Pkwy Ste 101
Wilmington, NC 28403-2845

Mailing address

5002 Randall Pkwy Ste 101
Wilmington, NC 28403-2845
Phone (910) 363-6909

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
A20121NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling With Faith Campbell PLLC Mental Health Current Accepting new patients
Second Chance Behavioral Health Mental Health Past Accepting new patients
KRC Counseling Inc. PastSince Jun 16, 2024 Accepting new patients

Locations

5002 Randall Pkwy
Ste 101
Wilmington, NC 28403
Phone (607) 483-3673

Organizations & group practices 3

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": "1718236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1194568741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5002 RANDALL PKWY STE 101",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032845",
            "telephone_number": "910-363-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 RANDALL PKWY STE 101",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032845",
            "telephone_number": "910-363-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "FAITH",
        "name_prefix": "Mrs.",
        "credential": "MS, LCMHCA, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-13",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A20121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; 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.