Daryl Campbell

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

17770 Issued in FL

Practice address

426 SW 27TH Ave Apt 307
Ft Lauderdale, FL 33312-2199

Phone

(954) 218-4522

NPI assigned

Feb 21, 2019

Last updated

Nov 7, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1548727993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 SW 27TH AVE APT 307",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333122199",
            "telephone_number": "954-218-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 SW 27TH AVE APT 307",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333122199",
            "telephone_number": "954-218-4522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10620 NW 21st St",
            "address_purpose": "LOCATION",
            "city": "Sunrise",
            "state": "FL",
            "postal_code": "333223506",
            "country_code": "US",
            "telephone_number": "954-256-3355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "DARYL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-21",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "CAP10007",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "17770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Bruce Campbell, MD
• April S Campbell, NP
• Charmaine Elizabeth Campbell
• Christian Campbell
• Christopher Michael Campbell, CRNA
• Donald G Campbell, CRNA
• George William Campbell III, DC
• Joseph E Campbell, P.A.
• Kate M. Campbell, PHD, LMFT
• Keri-Ann Campbell

• Mental Health Counselor in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.