Individual provider Active NPI

Ashton Campbell, LPC

  • Professional Counselor
  • Hudsonville, MI
National Provider Identifier
1225495765
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401015270 Issued in MI
Practice address
2874 Port Sheldon St Ste E
Hudsonville, MI 49426-7898
Phone
(616) 240-9044
NPI assigned
Jan 27, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401015270 MI Primary

Addresses

Primary practice location

2874 Port Sheldon St Ste E
Hudsonville, MI 49426-7898

Mailing address

4074 Ponca Dr SW
Grandville, MI 49418-1758
Phone (616) 240-9044

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
6401015270MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Campbell Therapies, LLC Professional CurrentSince Nov 13, 2022 Accepting new patients
West Michigan Psychological Services LLC Current Accepting new patients

Locations

259 Hoover Blvd
Ste 140
Holland, MI 49423
Phone (616) 460-0174

2874 Port Sheldon St
Ste E
Hudsonville, MI 49426
Phone (616) 240-9044

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": "1453852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1225495765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4074 PONCA DR SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494181758",
            "telephone_number": "616-240-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2874 PORT SHELDON ST STE E",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494267898",
            "telephone_number": "616-240-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ASHTON",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-27",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401015270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudsonville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.