Individual provider Active NPI

Sierah Campbell, NCC, LPC-MSHP

  • Mental Health Counselor
  • Clarksville, TN
National Provider Identifier
1447724554
Registry record updated Dec 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4257 Issued in TN
Practice address
204 Harnett CT
Clarksville, TN 37043-2065
Phone
(615) 438-3615
NPI assigned
Jan 11, 2019
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 fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4257TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Clarksville Behavioral Health, LLC Past
since Oct 10, 2018
Accepting new patients
Athena Consulting and Psychological Services, PLLC Past
since Mar 22, 2023
Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4257 TN Primary

Addresses

NPPES NPI Registry

Primary practice location

204 Harnett CT
Clarksville, TN 37043-2065

Mailing address

204 Harnett CT
Clarksville, TN 37043-2065
Phone (615) 438-3615

Other practice location 1

775 Weatherly Dr Ste F
Clarksville, TN 37043-8942
Phone (931) 494-7131

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
4257OtherTNBOARD OF COUNSELORS AND MARRIAGE AND FAMILY THERAPISTS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 27, 2019.

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1447724554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 HARNETT CT",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370432065",
            "telephone_number": "615-438-3615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 HARNETT CT",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370432065",
            "telephone_number": "615-438-3615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "775 Weatherly Dr Ste F",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370438942",
            "country_code": "US",
            "telephone_number": "931-494-7131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "SIERAH",
        "credential": "NCC, LPC-MSHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-11",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "4257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF COUNSELORS AND MARRIAGE AND FAMILY THERAPISTS",
            "identifier": "4257",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; 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.