Individual provider Active NPI

Mary Ann Campbell, LP.C

  • Professional Counselor
  • Phoenix, AZ
National Provider Identifier
1235216540
Registry record updated Aug 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC12444 Issued in AZ
Practice address
1702 E Highland Ave
Suite 318
Phoenix, AZ 85016-4664
Phone
(602) 604-9440
Fax
(602) 604-9600
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2009

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 LPC12444 AZ Primary

Addresses

Primary practice location

1702 E Highland Ave
Suite 318
Phoenix, AZ 85016-4664

Mailing address

1702 E Highland Ave
Suite 318
Phoenix, AZ 85016-4664
Phone (602) 604-9440

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
LPC12444AZMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249862400000",
    "number": "1235216540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 E HIGHLAND AVE",
            "address_2": "SUITE 318",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164664",
            "telephone_number": "602-604-9440",
            "fax_number": "602-604-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 E HIGHLAND AVE",
            "address_2": "SUITE 318",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164664",
            "telephone_number": "602-604-9440",
            "fax_number": "602-604-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "MARY ANN",
        "name_prefix": "Mrs.",
        "credential": "LP.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2009-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC12444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2009; 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.