Casey Campbell, M.S., LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

R3136 Issued in OR

Practice address

4634 NE Garfield Ave Ste B
Portland, OR 97211-3313

Phone

(503) 714-8762

NPI assigned

Jan 1, 2017

Last updated

Jan 30, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1483228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1336684257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4634 NE GARFIELD AVE STE B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972113313",
            "telephone_number": "503-714-8762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4634 NE GARFIELD AVE STE B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972113313",
            "telephone_number": "503-714-8762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "CASEY",
        "name_prefix": "Mr.",
        "credential": "M.S., LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-01",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R3136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Todd Campbell-Arriola Jr., LMT
• Devan Campbell-Tiani
• Alissa Ann Campbell
• Barbara Kane Campbell, PH.D.
• Carmen Lila Campbell, ND
• Cheyenne Campbell, CADC
• Christina Campbell
• Deborah Campbell
• Emily Campbell, RN
• Emily Campbell, RD

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.