Jill Teresa Campoli

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0167051 Issued in NM

Practice address

1231 Vitalia St
Santa Fe, NM 87505-3278

Phone

(617) 407-2460

NPI assigned

Jan 13, 2015

Last updated

Jan 13, 2015By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Little Field Counseling LLC

  • Adult Mental Health Clinic/Center
  • Santa Fe, NM
  • NPI 1992434567
  NPD Authorized official
• Haven of Peace Enterprise

  • Professional Counselor
  • Edgewood, NM
  • NPI 1255273611
  NPD

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421107200000",
    "number": "1235528399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 VITALIA ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87505",
            "telephone_number": "617-407-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 VITALIA ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053278",
            "telephone_number": "617-407-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPOLI",
        "first_name": "JILL",
        "middle_name": "TERESA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0167051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doreen T Campbell, LISW
• Robert Campbell, DOM
• Timothy Perrow Campbell, LMT
• Tyler G Campbell, PHARMD
• Sigourney Tegan Campia
• Adriana Campos
• Peter Samuel Campos, DN
• Rachel Consuelo Campos, B.A., ASL
• Richard G Canby, RPH
• Teresa Candelaria

• Mental Health Counselor in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.