Katharine Campbell Counseling & Consulting, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

SW8032 Issued in FL

Legal business name

KATHARINE CAMPBELL COUNSELING & CONSULTING, LLC

Practice address

1881 NE 26TH St
Suite 70
Wilton Manors, FL 33305-1416

Phone

(954) 507-0137

Fax

(954) 990-4480

NPI assigned

Aug 22, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Katharine Campbell, LCSW, PHDNPI 1588968010

Title

Owner

Phone

(954) 507-0137

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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

• Katharine Marie Campbell, PH.D., L.C.S.W.

  • Clinical Social Worker
  • Wilton Manors, FL
  • NPI 1588968010
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1609200906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11",
            "city": "CONNELLY SPRINGS",
            "state": "NC",
            "postal_code": "286120011",
            "telephone_number": "954-507-0137",
            "fax_number": "954-990-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 NE 26TH ST",
            "address_2": "SUITE 70",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051416",
            "telephone_number": "954-507-0137",
            "fax_number": "954-990-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHARINE CAMPBELL COUNSELING & CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-22",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "KATHARINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-507-0137",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW8032",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Johnson, LCSW
• Tod Johnston
• George James Kallas, PSY.D.
• Kristy Kao, DDS
• Karl S Brot MD PA
• Keeping Them Safe Youth Center, Inc
• Kathryn Kendall
• Kerry Kenwright, L.C.S.W
• Michael Todd Kersman
• Fred D Khani, D.O.

• Mental Health Counselor in Wilton Manors, FL
• Providers in Wilton Manors, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.