Individual provider Active NPI

Candess Marie Campbell, MA

  • Addiction (Substance Use Disorder) Counselor
  • Spokane, WA
National Provider Identifier
1427040740
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CDP 00001122 Issued in WA
Practice address
2317 W Clarke Ave
Spokane, WA 99201-1408
Phone
(509) 363-1789
Fax
(509) 363-1789
NPI assigned
Aug 22, 2005
Reactivated
Mar 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CDP 00001122 WA Primary
Mental Health Counselor 101YM0800X LH00004496 WA

Addresses

Primary practice location

2317 W Clarke Ave
Spokane, WA 99201-1408

Mailing address

2317 W Clarke Ave
Spokane, WA 99201-1408
Phone (509) 363-1789

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
CDP 00001122WAMDAddiction (Substance Use Disorder) Counselor
LH00004496WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1427040740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 W CLARKE AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992011408",
            "telephone_number": "509-363-1789",
            "fax_number": "509-363-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 W CLARKE AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992011408",
            "telephone_number": "509-363-1789",
            "fax_number": "509-363-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "CANDESS",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-22",
        "last_updated": "2026-07-13",
        "deactivation_date": "2006-03-27",
        "reactivation_date": "2006-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CDP 00001122",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00004496",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.