Angelica Campbell, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

80994 Issued in TX

Practice address

604 Strada Cir
Mansfield, TX 76063-3201

Phone

(817) 453-2400

Fax

(817) 453-2414

NPI assigned

Dec 4, 2015

Last updated

Jan 30, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Jones Center for Children's Therapy and Assessment

  • Clinical Child & Adolescent Psychologist
  • Mansfield, TX
  • NPI 1447534565
  NPD (past)
• McGuire Christian Counseling Inc.

  • Community/Behavioral Health Agency
  • Springfield, MO
  • NPI 1912141789
  NPD (past)

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1376918177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 STRADA CIR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633201",
            "telephone_number": "817-453-2400",
            "fax_number": "817-453-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 STRADA CIR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633201",
            "telephone_number": "817-453-2400",
            "fax_number": "817-453-2414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3101 S Kimbrough Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658075011",
            "country_code": "US",
            "telephone_number": "417-866-7773",
            "fax_number": "417-866-7792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ANGELICA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-04",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2015034351",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "80994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David H Cade, LPA
• Ebony Raynette Calbert
• Amber Danielle Caldwell
• Nikki Caldwell
• Cameron E Smith, OD, PA (TSO - Mansfield)
• Melissa Campos
• Kevin Canarte Allauca, DPT
• Melanie Canas, RN
• Ieshia Cannon
• Alejandra Carbajal Barajas

• Mental Health Counselor in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.