Individual provider Active NPI

Vanessa Campbell, LMHC, NCC, CTP

  • Mental Health Counselor
  • Bridgeport, CT
National Provider Identifier
1568313245
Registry record updated Feb 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
017531 Issued in NY
Practice address
328 Fairview Ave
Bridgeport, CT 06606-4601
Phone
(347) 349-5896
NPI assigned
Feb 7, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 017531 NY Primary

Addresses

Primary practice location

328 Fairview Ave
Bridgeport, CT 06606-4601

Mailing address

328 Fairview Ave
Bridgeport, CT 06606-4601
Phone (347) 349-5896

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260521004174 NY Practitioner - Mental Health Counselor 0648740498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Hofstra North Shore - Lij School of Medicine, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1225 Franklin Ave
Suite 325
Garden City, NY 11530-1659

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1770422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770422400000",
    "number": "1568313245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 FAIRVIEW AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064601",
            "telephone_number": "347-349-5896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 FAIRVIEW AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064601",
            "telephone_number": "347-349-5896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "VANESSA",
        "credential": "LMHC, NCC, CTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-07",
        "last_updated": "2026-02-07",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "017531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

Verify at the official NPI Registry.