Organization Active NPI

Linda S. Campbell, LLC

  • Professional Counselor
  • Lakeville, PA
National Provider Identifier
1487071247
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC001562 Issued in PA
Legal business name
LINDA S. CAMPBELL, LLC
Doing business as
Linda S. Campbell, LLC
Practice address
1258 Purdytown Tpke Ste 101
Lakeville, PA 18438-6793
Phone
(570) 470-6190
Fax
(570) 226-1967
NPI assigned
Mar 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Authorized official

Name
Mrs. Linda S Campbell, NCC, LPCNPI 1033403928
Title
NCC, LPC
Phone
(570) 470-6190

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X PC001562 PA Primary

Addresses

Primary practice location

1258 Purdytown Tpke Ste 101
Lakeville, PA 18438-6793

Mailing address

1258 Purdytown Tpke Ste 101
Lakeville, PA 18438-6793
Phone (570) 470-6190

Other identifiers 2

IdentifierTypeStateIssuer
1033403928OtherPANPI 1
1487071247OtherPANPI 2

Other names 1

  • Linda S. Campbell, LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address esi2000@ptd.net Direct

National Provider Directory

National Provider Directory

Locations

1258 Purdytown Tpke
Ste 101
Lakeville, PA 18438
Phone (570) 470-6190

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1487071247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1258 PURDYTOWN TPKE STE 101",
            "city": "LAKEVILLE",
            "state": "PA",
            "postal_code": "184386793",
            "telephone_number": "570-470-6190",
            "fax_number": "570-226-1967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1258 PURDYTOWN TPKE STE 101",
            "city": "LAKEVILLE",
            "state": "PA",
            "postal_code": "184386793",
            "telephone_number": "570-470-6190",
            "fax_number": "570-226-1967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA S. CAMPBELL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-18",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "NCC, LPC",
        "authorized_official_telephone_number": "570-470-6190",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NCC, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC001562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1",
            "identifier": "1033403928",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 2",
            "identifier": "1487071247",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "esi2000@ptd.net",
            "affiliation": "N",
            "endpointDescription": "Computer",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1258 Purdytown Tpke Ste 101",
            "city": "Lakeville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "184386793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Linda S. Campbell, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.