Judith L. Campanaro, MAPC, LMHP, AT
Individual provider Active NPI Professional Counselor · Mill Creek, WA
NPI 1376765628 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1376765628
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LH00010981 (WA)
- Practice address
- 15720 Main St
Ste 216
Mill Creek, WA 98012 - Phone
- (425) 225-5192
- NPI assigned
- May 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH00010981 | WA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH00010981 | WA | |
| Professional Counselor | 101YP2500X | LH00010981 | WA | Yes |
Addresses
Primary practice location
15720 Main St
Ste 216
Mill Creek, WA 98012
Mailing address
1132 Mill Creek Blvd #E207
Mill Creek, WA 98012
Phone (425) 225-5192
Other providers in Mill Creek, WA
- Kim Van Steertegem Buzatu
- Dominiqua Byers
- Thea E Byrne
- Jennifer Cabarrus
- Robin Lee Cameron
- Karla Campbell
- Carbon Health Medical Group of Florida PA
- Caring Family Dentistry
- Caroline L Rinke
- Teresa Caroto
All providers in Mill Creek, WA · Professional Counselor in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.