Individual provider Active NPI

Sheryl B Campbell, LCPC

  • Professional Counselor
  • Millersville, MD
National Provider Identifier
1437640398
Registry record updated May 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC8120 Issued in MD
Practice address
1114 Benfield Blvd Ste G
Millersville, MD 21108-2589
Phone
(410) 780-5203
Fax
(410) 987-4301
NPI assigned
May 25, 2018
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240815001003 DC Practitioner - Mental Health Counselor 8224576723 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Professional CurrentSince Jul 13, 2024 Accepting new patients
Teladoc Health Medical Group, P.a. Professional Current Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Interoperability endpoints

  • Direct secure messaging: sherylcampbell@tdh.allscriptsdirect.net

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC8120 MD Primary

Addresses

NPPES NPI Registry

Primary practice location

1114 Benfield Blvd Ste G
Millersville, MD 21108-2589

Mailing address

1042 5TH St
Glen Burnie, MD 21060-6712
Phone (443) 986-1723

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 25, 2018.

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527206400000",
    "number": "1437640398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1042 5TH ST",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210606712",
            "telephone_number": "443-986-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 BENFIELD BLVD STE G",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211082589",
            "telephone_number": "410-780-5203",
            "fax_number": "410-987-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "SHERYL",
        "middle_name": "B",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-25",
        "last_updated": "2018-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC8120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millersville, MD

Sources for this page

Verify at the official NPI Registry.