Kristy Marie Campbell, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4913 Issued in MN

Practice address

10628 160TH St
Tracy, MN 56175-1924

Phone

(507) 649-1894

NPI assigned

Nov 28, 2022

Last updated

Jun 4, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Safe Haven Counseling PLLC

  • Professional Counselor
  • Tracy, MN
  • NPI 1447934948
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1215647649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10628 160TH ST",
            "city": "TRACY",
            "state": "MN",
            "postal_code": "561751924",
            "telephone_number": "507-649-1894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10628 160TH ST",
            "city": "TRACY",
            "state": "MN",
            "postal_code": "561751924",
            "telephone_number": "507-649-1894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "KRISTY",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "4913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 3Rd Street Dental LLC
• Wilfredo P Apostol, MD
• Avera Marshall (Avera Eye Care Tracy)
• Thomas A Bruns, CRNA
• Debra Lynn Busmann, NP-C
• Elishia Ann Christians, FNP
• Maggie Currie
• Angela Lee Deadrick, LICSW
• Nicole Marie Deprez, LICSW
• Engelkes, LLC (SecondWind CPAP)

• Professional Counselor in Tracy, MN
• Providers in Tracy, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.