Active NPI
Lisa Pope Campbell, LCSW
- Marriage & Family Therapist
- Buford, GA
National Provider Identifier
1285840652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 0001864
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0001864 | GA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Marriage & Family Therapist
- Buford, GA
- NPI 1740498369
-
- Counselor
- Burford, GA
- NPI 1164636296
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.