Individual provider Active NPI

Cristina Michelle Campbell, LPC

  • Professional Counselor
  • North Richland Hills, TX
National Provider Identifier
1457673287
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
65576 Issued in TX
Practice address
6344 Davis Blvd Ste 300a
North Richland Hills, TX 76180-4762
Phone
(817) 701-0663
NPI assigned
Feb 21, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 65576 TX Primary

Addresses

Primary practice location

6344 Davis Blvd Ste 300a
North Richland Hills, TX 76180-4762

Mailing address

6344 Davis Blvd Ste 300a
North Richland Hills, TX 76180-4762
Phone (817) 701-0663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 17, 2024 through Jan 17, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
65576TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Luxx Therapy, PLLC CurrentSince Mar 3, 2024 Accepting new patients

Locations

6344 Davis Blvd
Ste 300A
North Richland Hills, TX 76180
Phone (817) 701-0663

Interoperability endpoints

  • Direct secure messaging: cristina.campbell.1@24284.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1266710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1457673287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6344 DAVIS BLVD STE 300A",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761804762",
            "telephone_number": "817-701-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6344 DAVIS BLVD STE 300A",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761804762",
            "telephone_number": "817-701-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "CRISTINA",
        "middle_name": "MICHELLE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-21",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "65576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Richland Hills, TX

Sources for this page

Verify at the official NPI Registry.