Sara Louise Campbell, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P1709351 Issued in AR

Practice address

2758 E Millennium Dr
Fayetteville, AR 72703-4798

Phone

(479) 430-2323

NPI assigned

May 5, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Counseling Affect

  • Professional Counselor
  • Fayetteville, AR
  • NPI 1417543216

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1508032160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2758 E MILLENNIUM DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034798",
            "telephone_number": "479-430-2323",
            "fax_number": "479-269-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2758 E MILLENNIUM DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034798",
            "telephone_number": "479-430-2323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 W Sunbridge Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727031822",
            "country_code": "US",
            "telephone_number": "479-750-2020",
            "fax_number": "479-750-4843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "SARA",
        "middle_name": "LOUISE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-05",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1709351",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AR",
            "license": "A1505071",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "P1709351",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227774719",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia K Campbell, MSW, LCSW
• Jasper Ahmad Campbell
• John Christy Campbell, M.A.
• Kadie Campbell
• Lucas Kyle Campbell, MD
• Sarah Anne Campbell, DNP, AGAC-BC
• Kevin Bryce Campos, DC
• Candor Clinicians PA
• Robert David Cannon, M.D.
• Michele Yvette Cantu, MD

• All providers in Fayetteville, AR
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.