Individual provider Active NPI

Kerri Ann Campbell, MS

  • Mental Health Counselor
  • Deerfield Beach, FL
National Provider Identifier
1467123851
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH23370 Issued in FL
Practice address
2501 W Hillsboro Blvd Ste 107
Deerfield Beach, FL 33442-8437
Phone
(908) 433-2405
NPI assigned
Sep 24, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH23370 FL Primary

Addresses

Primary practice location

2501 W Hillsboro Blvd Ste 107
Deerfield Beach, FL 33442-8437

Mailing address

7737 NW 79TH Ave Apt 206
Tamarac, FL 33321-2851

Other practice location 1

1317 Edgewater Dr # 498
Orlando, FL 32804-6350
Phone (254) 394-8212 ext. 103

Other names 1

  • Kerri Ann Swaby Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MH23370FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1467123851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7737 NW 79TH AVE APT 206",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W HILLSBORO BLVD STE 107",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334428437",
            "telephone_number": "908-433-2405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1317 Edgewater Dr # 498",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328046350",
            "country_code": "US",
            "telephone_number": "254-394-8212 x103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "KERRI ANN",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-24",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH23370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRI ANN",
            "last_name": "SWABY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.