Vaneka Campbell

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

22141 Issued in NC

Practice address

6800 Willowbrook Dr Apt 3
Fayetteville, NC 28314-1131

Phone

(910) 489-9160

NPI assigned

Aug 28, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Vaneka Campbell Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• VRC Counseling Agency, PLLC

  • Mental Health Counselor
  • Saint Pauls, NC
  • NPI 1508401241
  NPD Authorized official

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440720000000",
    "number": "1457728164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 WILLOWBROOK DR APT 3",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283141131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 WILLOWBROOK DR APT 3",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283141131",
            "telephone_number": "910-489-9160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "VANEKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-28",
        "last_updated": "2015-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "22141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANEKA",
            "last_name": "CAMPBELL",
            "credential": "LCASA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lisa Campbell, CADC
• Mary Lynn Campbell, LCAS 30162
• Shamika Sallie Campbell, QASP-S
• Theadora Devone Campbell, PA-C
• Theresa J. Campbell, FNP
• Lea Campo, RBT
• Can DO Counseling PLLC
• Haley Canady
• Kelli Canady, RN, IBCLC
• Monifa Canady

• Addiction (Substance Use Disorder) Counselor in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; 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.