Active NPI
Sierah Campbell, NCC, LPC-MSHP
- Mental Health Counselor
- Clarksville, TN
National Provider Identifier
1447724554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4257
- 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.
-
- Clinical Psychologist
- Nashville, TN
- NPI 1336292465
-
- Psychologist
- Clarksville, TN
- NPI 1174965420
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4257 | TN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarksville Behavioral Health, LLC | Past |
Accepting new patients | |
| Athena Consulting and Psychological Services, PLLC | Past |
Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4257 | TN | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4257 | Other | TN | BOARD 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.