Active NPI
Susan Campion, MS, LADC, NCGC-II
- Addiction (Substance Use Disorder) Counselor
- Apple Valley, MN
National Provider Identifier
1235430653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 302633
- Practice address
- 7570 147TH St W
Suite 307
Apple Valley, MN 55124-7560 - Phone
- (612) 267-7952
- NPI assigned
- Nov 17, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 302633 | MN | Primary |
Addresses
Primary practice location
7570 147TH St W
Suite 307
Apple Valley, MN 55124-7560
Mailing address
7570 147TH St W
Suite 307
Apple Valley, MN 55124-7560
Phone (612) 267-7952
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 302633 | MN | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289952000000",
"number": "1235430653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7570 147TH ST W",
"address_2": "SUITE 307",
"city": "APPLE VALLEY",
"state": "MN",
"postal_code": "551247560",
"telephone_number": "612-267-7952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7570 147TH ST W",
"address_2": "SUITE 307",
"city": "APPLE VALLEY",
"state": "MN",
"postal_code": "551247560",
"telephone_number": "612-267-7952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPION",
"first_name": "SUSAN",
"credential": "MS, LADC, NCGC-II",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-17",
"last_updated": "2010-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MN",
"license": "302633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Apple Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.