Individual provider Active NPI

Sandra Campbell, LPC

  • Mental Health Counselor
  • Frisco, TX
National Provider Identifier
1265124820
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
83911 Issued in TX
Practice address
4645 Avon LN Ste 245
Frisco, TX 75033-1614
Phone
(972) 704-1372
Fax
(972) 476-1162
NPI assigned
May 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 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 83911 TX Primary

Addresses

Primary practice location

4645 Avon LN Ste 245
Frisco, TX 75033-1614

Mailing address

4645 Avon LN Ste 245
Frisco, TX 75033-1614
Phone (972) 704-1372

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240522000623 TX Practitioner - Mental Health Counselor 2860834835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hfa Medical Services PLLCGroup PAC ID 4880093954, 5 clinicians

Practice addresses (Care Compare)

1430 Regal Row
Suite 300B
Dallas, TX 75247-3625
Phone (214) 247-6568

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hfa Medical Services, PLLC CurrentSince Jun 25, 2024 Accepting new patients

Locations

1430 Regal Row
Ste 300B
Dallas, TX 75247
Phone (214) 247-6568

1250 W Mockingbird Ln
Ste 315
Dallas, TX 75247
Phone (214) 247-6568

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1265124820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 AVON LN STE 245",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750331614",
            "telephone_number": "972-704-1372",
            "fax_number": "972-476-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 AVON LN STE 245",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750331614",
            "telephone_number": "972-704-1372",
            "fax_number": "972-476-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "SANDRA",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "83911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.