Vincent James Campanile IV, LPC, MA, MS, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC011990 Issued in PA

Practice address

1011 Reed Ave Ste 900
Wyomissing, PA 19610-2002

Phone

(610) 939-9999

NPI assigned

Dec 3, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Berks Counseling Center IncGroup PAC ID 7810894631, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Master of Science

Practice roles

Locations

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.

• Berks Counseling Center, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Reading, PA
  • NPI 1881620250

  Mental Health

  Medicare reassignment Care Compare group NPD
• Berks Counseling Center, Inc.

  • Community Health Clinic/Center
  • Reading, PA
  • NPI 1932629342
  NPD

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1437796935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 REED AVE STE 900",
            "city": "READING",
            "state": "PA",
            "postal_code": "196102002",
            "telephone_number": "610-939-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 REED AVE STE 900",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102002",
            "telephone_number": "610-939-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPANILE",
        "first_name": "VINCENT",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "LPC, MA, MS, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-03",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC011990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cicely Calvaresi-Holston, LPC
• Ryan Mikhail David Calvi, D.M.D.
• Karen Ann V Cameron, OTD MED OTR/L
• Steven Paul Cammarano, DPT
• Carlee Cammerota
• Alana Rayana Campbell
• Marissa Campo, CPNP
• Gary C Canner, M.D.
• Michelle A Capone, MSCC
• Sarah Carabello

• Mental Health Counselor in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.