Active NPI
Libby Theo Campbell, PHD LMHC
- Counselor
- Orlando, FL
National Provider Identifier
1558419184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- MH00003126
- Practice address
- 7345 Sandlake Rd
#409
Orlando, FL 32819 - Phone
- (407) 354-0430
- Fax
- (407) 354-0430
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | MH00003126 | FL | Primary |
| Counselor | 101Y00000X | NBCC44397 |
Addresses
Primary practice location
7345 Sandlake Rd
#409
Orlando, FL 32819
Mailing address
10312 Pointview CRT
Orlando, FL 32836
Phone (407) 354-0430
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z6446 | Other | FL | BCBS |
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH00003126 | FL | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1558419184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10312 POINTVIEW CRT",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32836",
"telephone_number": "407-354-0430",
"fax_number": "407-354-0430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7345 SANDLAKE RD",
"address_2": "#409",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32819",
"telephone_number": "407-354-0430",
"fax_number": "407-354-0430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "LIBBY",
"middle_name": "THEO",
"name_prefix": "Dr.",
"credential": "PHD LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "FL",
"license": "MH00003126",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": "NBCC44397",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Z6446",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.