Freida N Campbell, LCADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

164700 Issued in KY

Practice address

618 N. Green Street
Henderson, KY 42420-4242

Phone

(270) 826-8314

NPI assigned

Oct 18, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Rivervalley Behavioral Health Inc

  • Community Health Clinic/Center
  • Owensboro, KY
  • NPI 1285689711
  NPD (past)

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508284800000",
    "number": "1578074548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2374 DUNDONNELL DR",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202524",
            "telephone_number": "270-860-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 N. GREEN STREET",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424204242",
            "telephone_number": "270-826-8314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "FREIDA",
        "middle_name": "N",
        "credential": "LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-18",
        "last_updated": "2017-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "164700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Burrow, APRN
• Leeann Elizabeth Butrum, MA, BCBA
• Cabco, Inc
• Cabco, Inc
• Jennifer Ann Calvert I, LCSW
• Karen R Canlas, MD
• Noel D Canlas, MD
• Caring Choice Therapy PLLC
• Philip David Caron, DO
• Clinton Joseph Carr, PHARMACIST

• All providers in Henderson, KY
• Addiction (Substance Use Disorder) Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; 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.