Individual provider Active NPI

David L Campbell, DSW, MA, LMFT

  • Marriage & Family Therapist
  • Bend, OR
National Provider Identifier
1396324075
Registry record updated Dec 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
113829 Issued in CA
Practice address
61667 Somerset Dr
Bend, OR 97702-8704
Phone
(541) 241-3430
NPI assigned
Apr 7, 2021
Last updated
Dec 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 113829 CA Primary
Marriage & Family Therapist 106H00000X T2445 OR

Addresses

Primary practice location

61667 Somerset Dr
Bend, OR 97702-8704

Mailing address

20013 Voltera PL
Bend, OR 97702-3013
Phone (619) 228-4523

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
113829CAMDClinical Social Worker
T2445ORMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Addiction Treatment LLC CurrentSince Dec 28, 2025 Accepting new patients
Northwest Addiction Treatment LLC CurrentSince Dec 28, 2025 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766620800000",
    "number": "1396324075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20013 VOLTERA PL",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023013",
            "telephone_number": "619-228-4523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61667 SOMERSET DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977028704",
            "telephone_number": "541-241-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "DAVID",
        "middle_name": "L",
        "credential": "DSW, MA, LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-07",
        "last_updated": "2025-12-25",
        "certification_date": "2025-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "113829",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T2445",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2025; 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.