Individual provider Active NPI

Tracey Campagna, LMHC

  • Mental Health Counselor
  • Lawrenceburg, IN
National Provider Identifier
1235918467
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39004618A Issued in IN
Practice address
276 Bielby Rd
Lawrenceburg, IN 47025-2787
Phone
(812) 576-1600
NPI assigned
Sep 26, 2023
Last updated
Sep 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39004618A IN Primary

Addresses

Primary practice location

276 Bielby Rd
Lawrenceburg, IN 47025-2787

Mailing address

420 Barney CT
Harrison, OH 45030-4926
Phone (607) 742-1318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240119001980 IN Practitioner - Mental Health Counselor 6507218047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Mental Health Center Inc.Group PAC ID 1456330166, 42 clinicians

Practice addresses (Care Compare)

285 Bielby Rd
Lawrenceburg, IN 47025-1055
Phone (812) 537-1302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39004618AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Mental Health Center Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

285 Bielby Rd
Lawrenceburg, IN 47025
Phone (812) 537-1302

401 W Eads Pkwy
Ste 450
Lawrenceburg, IN 47025
Phone (574) 248-1706

710 W Eads Pkwy
Lawrenceburg, IN 47025
Phone (812) 537-7382

28208 State Route 1
West Harrison, IN 47060
Phone (812) 576-1600

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1235918467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 BARNEY CT",
            "city": "HARRISON",
            "state": "OH",
            "postal_code": "450304926",
            "telephone_number": "607-742-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 BIELBY RD",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "470252787",
            "telephone_number": "812-576-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPAGNA",
        "first_name": "TRACEY",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39004618A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, IN

Sources for this page

Verify at the official NPI Registry.