Active NPI
Paul Campbell, LMHC,LMT
- Mental Health Counselor
- Gainesville, FL
National Provider Identifier
1225356132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH1644
- Practice address
- 1409 NW 6TH St
Suite 220
Gainesville, FL 32601-2234 - Phone
- (352) 371-3718
- NPI assigned
- May 17, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH1644 | FL | Primary |
| Massage Therapist | 225700000X | MA3474 | FL |
Addresses
Primary practice location
1409 NW 6TH St
Suite 220
Gainesville, FL 32601-2234
Mailing address
1409 NW 6TH St
Suite 220
Gainesville, FL 32601-2234
Phone (352) 371-3718
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z1889 | Other | FL | BLUE CROSS BLUE SHIELD PROVIDER NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MH1644 | FL | MD | Mental Health Counselor |
| MA3474 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274054400000",
"number": "1225356132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1409 NW 6TH ST",
"address_2": "SUITE 220",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326012234",
"telephone_number": "352-371-3718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1409 NW 6TH ST",
"address_2": "SUITE 220",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326012234",
"telephone_number": "352-371-3718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "PAUL",
"credential": "LMHC,LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-17",
"last_updated": "2010-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH1644",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA3474",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD PROVIDER NUMBER",
"identifier": "Z1889",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.