Judith P Campbell, LPC, LMFT, LSATP
Individual provider Active NPI Professional Counselor · Amherst, VA
NPI 1477555332 · NPPES record last updated Apr 28, 2023
Key facts
- NPI
- 1477555332
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0701002485 (VA)
- Practice address
- 234 Sweet Hills Dr
Amherst, VA 24521-3284 - Phone
- (434) 929-0355
- Fax
- (434) 929-0357
- NPI assigned
- Aug 11, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 0701002485 | VA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701002485 | VA | Yes |
Addresses
Primary practice location
234 Sweet Hills Dr
Amherst, VA 24521-3284
Mailing address
PO Box 128
Monroe, VA 24574-0128
Phone (434) 942-6369
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010221030 | Medicaid | VA | |
| 186483 | Other | ANTHEM PROVIDER NUMBER | |
| 20-3639329 | Other | PCHP PROVIDER NUMBER | |
| 86528M | Other | SENTARA/OPTIMA PROVIDER N | |
| 2129118 | Other | CIGNA BEHAVIOR PROVIDER N | |
| 203639329001 | Other | TRICARE PROVIDER NUMBER | |
| 464154 | Other | VALUE OPTIONS PROVIDER NU |
Other providers in Amherst, VA
- Kelsey Leeanne Brooks
- Kristle Me Chelle Brown
- Christen Joy Brunstetter
- Kenneth Gordon Bunch
- California Lenee Caldwell
- Ryan Canner
- Michael Cargill
- Centra Health Inc
- Centra Medical Group, LLC
- Centra Medical Group, LLC
All providers in Amherst, VA · Professional Counselor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.