Individual provider Active NPI

Heather Campbell, MA

  • Mental Health Counselor
  • Olympia, WA
National Provider Identifier
1194983858
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00011293 Issued in WA
Practice address
2401 Bristol CT SW # C-103
Olympia, WA 98502-6003
Phone
(360) 701-8276
NPI assigned
May 29, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2008

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 LH00011293 WA Primary

Addresses

Primary practice location

2401 Bristol CT SW # C-103
Olympia, WA 98502-6003

Mailing address

3209 Harrison Ave NW # 117
Olympia, WA 98502-8704
Phone (360) 701-8276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20260626000817 WA Practitioner - Mental Health Counselor 2466925821 Practice locations: Olympia, WA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1005 Olympia Ave NE
Olympia, WA 98506-4033
Phone (360) 701-8276

1810 Puget St NE
Olympia, WA 98506-3364

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LH00011293WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Campbell Counseling Services, LLC Mental Health Current Accepting new patients

Locations

1005 Olympia Ave NE
Olympia, WA 98506
Phone (360) 791-5933

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": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1194983858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3209 HARRISON AVE NW # 117",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028704",
            "telephone_number": "360-701-8276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 BRISTOL CT SW # C-103",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985026003",
            "telephone_number": "360-701-8276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "HEATHER",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00011293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.