Latoya Shatawn Campos, LCMHC, LPC, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

12445 Issued in NC

Practice address

2901 Wesley Chapel Stouts Rd
Monroe, NC 28110-7940

Phone

(704) 651-9026

NPI assigned

Jul 28, 2015

Last updated

Jun 29, 2024By 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD, NC, NJ, NV5 enrollments

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 5

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Minuteclinic Diagnostic of North Carolina PCGroup PAC ID 6002837572, 208 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Minuteclinic Diagnostic of North Carolina PC

  • Family Nurse Practitioner
  • Raleigh, NC
  • NPI 1699748608
  Medicare reassignment Care Compare group NPD
• Grow Healthcare Group of New Jersey PC

  • Mental Health Counselor
  • Hoboken, NJ
  • NPI 1841949328
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  DC, NC

  Medicare reassignment NPD
• MC Medical Group of Nevada, P.C

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1730266537
  Medicare reassignment NPD
• Minuteclinic Diagnostic of New Jersey LLC

  • Family Nurse Practitioner
  • Sewell, NJ
  • NPI 1053353615

  Professional

  Medicare reassignment NPD
• Therapy Layne, PLLC

  • Community/Behavioral Health Agency
  • Wilmington, NC
  • NPI 1851233209
  NPD Authorized official
• Minuteclinic LLC

  • Family Nurse Practitioner
  • Rockville, MD
  • NPI 1134191836

  DC

  Medicare reassignment
• Be Well Therapy PLLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1235389248
  NPD (past)
• Be Well Therapy PLLC

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Charlotte, NC
  • NPI 1801769849
  NPD (past)

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719619200000",
    "number": "1447635750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 WESLEY CHAPEL STOUTS RD",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281107940",
            "telephone_number": "704-542-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 WESLEY CHAPEL STOUTS RD",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281107940",
            "telephone_number": "704-651-9026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 Egg Harbor Rd",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080801850",
            "country_code": "US",
            "telephone_number": "704-651-9026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7955 Tuckerman Ln",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "20854",
            "country_code": "US",
            "telephone_number": "866-528-7272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPOS",
        "first_name": "LATOYA",
        "middle_name": "SHATAWN",
        "credential": "LCMHC, LPC, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-28",
        "last_updated": "2024-06-29",
        "certification_date": "2024-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC10961",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00832800",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "12445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael S. Camp, MD
• Brittany Lynn Campbell, PHARM D
• Kim M Campbell, AGPC NP-C
• Matthew Reed Campbell, D.M.D.
• Daniel Campo, MD
• Tiffany Natashia Cannon, LPC
• Jennifer Cantrell, M.S. CCC-SLP
• Krista M Capobianco, LCSW
• Iurie Caraman, MD
• Andres Cardenas

• Professional Counselor in Monroe, NC
• Providers in Monroe, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2024; 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.