Individual provider Active NPI

Lisa Pope Campbell, LCSW

  • Marriage & Family Therapist
  • Buford, GA
National Provider Identifier
1285840652
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0001864 Issued in GA
Practice address
2070 Buford Hwy
Ste 2D
Buford, GA 30518-6079
Phone
(770) 271-9442
Fax
(770) 271-8939
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 0001864 GA Primary

Addresses

Primary practice location

2070 Buford Hwy
Ste 2D
Buford, GA 30518-6079

Mailing address

2070 Buford Hwy
Ste 2D
Buford, GA 30518-6079
Phone (770) 271-9442

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
0001864GAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lanier Counseling Services, LLC Marriage & Family Therapist Past Accepting new patients
Laser Counseling SVCS LLC Past Accepting new patients

Organizations & group practices 2

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": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285840652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2070 BUFORD HWY",
            "address_2": "STE 2D",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305186079",
            "telephone_number": "770-271-9442",
            "fax_number": "770-271-8939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 BUFORD HWY",
            "address_2": "STE 2D",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305186079",
            "telephone_number": "770-271-9442",
            "fax_number": "770-271-8939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "LISA",
        "middle_name": "POPE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "0001864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.