Tracey Lynette Campbell Henderson, RN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

1214661 Issued in TX

Practice address

10000 N 31St Ave Ste C262
Phoenix, AZ 85051-9630

Phone

(602) 754-0400

NPI assigned

Jun 21, 2017

Sex

Female

Sole proprietor

No

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1568982635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 630164",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759630164",
            "telephone_number": "936-205-1875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 N 31ST AVE STE C262",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850519630",
            "telephone_number": "602-754-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL HENDERSON",
        "first_name": "TRACEY",
        "middle_name": "LYNETTE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-21",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1214661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi Campanella, PT, MED, CPI
• Megan Elizabeth Campany
• Gianara Elizabeth Campasano, PT, DPT
• Campbell Burrell Therapy and Consulting
• Sophia L Campbell Burrell, LCSW
• Aquarius Campbell
• Ashley Campbell
• Brenda Long Campbell, REGISERED NURSE
• Candyce Chamade Campbell, LMSW
• Canisha Campbell

• Psychiatric/Mental Health Registered Nurse in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Psychiatric/Mental Health Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; 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.