Hannah Carey Campbell, LMFT, LPCC
Individual provider Active NPI Marriage & Family Therapist · Saint Louis, MO
NPI 1447725692 · NPPES record last updated Jul 4, 2023
Key facts
- NPI
- 1447725692
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 120400 (CA)
- Practice address
- 2308 Clifton Forge Dr
Saint Louis, MO 63131-3120 - Phone
- (310) 488-7500
- NPI assigned
- Oct 3, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9833 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Angeles County Department of Public Health | Current | Accepting new patients |
Interoperability endpoints
- hannahcampbell-clarefoundation@lacsapc.netsmartdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 9833 | CA | |
| Marriage & Family Therapist | 106H00000X | 120400 | CA | Yes |
Addresses
Primary practice location
2308 Clifton Forge Dr
Saint Louis, MO 63131-3120
Mailing address
PO Box 31853
Saint Louis, MO 63131-0853
Phone (310) 488-7500
Other practice location 1
185 Pier Ave Ste 104
Santa Monica, CA 90405-5360
Phone (310) 488-7500
Other practice location 2
1002 Pico Blvd
Santa Monica, CA 90405-1416
Phone (310) 314-6200 ext. 4053
Other providers in Saint Louis, MO
- Cinnamon Dale Campbell
- Courtney Michelle Campbell
- David C Campbell
- Dewitt Campbell III
- Donna E Campbell
- Heather Michelle Campbell
- Jessica Ann Campbell
- Karen Brooke Campbell
- L'Oreal Campbell
- Lisa Marie Campbell
All providers in Saint Louis, MO · Marriage & Family Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.