Dina Louise Campbell, MS, LLPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401015683 Issued in MI

Practice address

805 Superior St
Port Huron, MI 48060-3771

Phone

(810) 966-1972

NPI assigned

Oct 22, 2016

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

Credentials

Master of Science

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.

• Pure Psychiatry of Michigan PLLC

  • Physician Assistant
  • Wayne, MI
  • NPI 1831701671
  NPD (past)

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

{
    "created_epoch": "1477094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477094400000",
    "number": "1609327881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4092 LANCASTER DR",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480593773",
            "telephone_number": "810-334-8501",
            "fax_number": "810-990-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 SUPERIOR ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603771",
            "telephone_number": "810-966-1972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "DINA",
        "middle_name": "LOUISE",
        "credential": "MS, LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-22",
        "last_updated": "2016-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401015683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Mary Calnan, CPRM, CPRC
• Courtney Jean Calvert, DC
• James Austin Calvert, DC
• Martin Camaj, MD
• Paula M Cameron
• Nicole Campbell
• Cheri Anne Campis
• Alison Campos
• Adrienne Candela, LLMSW
• Cheryl A Canto, M.D.

• Counselor in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2016; 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.