NPIMap

Organization Active NPI

Blue Campbell and Associates LLC

  • Mental Health Counselor
National Provider Identifier
1588061279
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC5896 Issued in MD
Legal business name
BLUE CAMPBELL AND ASSOCIATES LLC
Practice address
804 W Pratt Street
Baltimore, NONE NONE
AM
Phone
(443) 904-8216
Fax
(443) 708-1443
NPI assigned
Nov 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2014

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

Authorized official

Name
Mrs. Lela Campbell, LCPC
Title
President
Phone
(443) 904-8216

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X LC5896 MD Primary

Addresses

Primary practice location

804 W Pratt Street
Baltimore, NONE NONE
AM

Mailing address

800 N Fulton Ave
Baltimore, MD 21217-1425
Phone (443) 904-8216

National Provider Directory

National Provider Directory
Tax ID family
Blue Campbell and Associates LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1588061279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N FULTON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212171425",
            "telephone_number": "443-904-8216",
            "fax_number": "443-708-1443"
        },
        {
            "country_code": "AM",
            "country_name": "Armenia",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "804 W PRATT STREET",
            "city": "BALTIMORE",
            "state": "NONE",
            "postal_code": "NONE",
            "telephone_number": "443-904-8216",
            "fax_number": "443-708-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE CAMPBELL AND ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-25",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "LELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-904-8216",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC5896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.