Individual provider Active NPI

Samantha Campbell

  • Addiction (Substance Use Disorder) Counselor
  • Martinsville, VA
National Provider Identifier
1215473129
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
8500 Al Philpott Hwy Ste 3
Martinsville, VA 24112-1495
Phone
(276) 226-9925
NPI assigned
Jan 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0701014240 VA
Mental Health Counselor 101YM0800X 0701014240 VA
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

8500 Al Philpott Hwy Ste 3
Martinsville, VA 24112-1495

Mailing address

6555 Abercorn St
Suite 129
Savannah, GA 31405-5713

Other identifiers 1

IdentifierTypeStateIssuer
0701014240MedicaidVA

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

LicenseStateTypeSpecialty
0701014240VAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Martinsville Treatment Services, LLC CurrentSince Feb 23, 2025 Accepting new patients
Healthqwest Frontiers LLC Past Accepting new patients

Locations

8500 Al Philpott Hwy
Ste 3
Martinsville, VA 24112
Phone (276) 226-9925

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1215473129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6555 ABERCORN ST",
            "address_2": "SUITE 129",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 AL PHILPOTT HWY STE 3",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241121495",
            "telephone_number": "276-226-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-17",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0701014240",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701014240",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0701014240",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.