Forged by Fire Counseling Services, LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

FORGED BY FIRE COUNSELING SERVICES, LLC

Doing business as

Mary Lynn Campbell

Practice address

1532 Vandenberg Dr
Fayetteville, NC 28312-7639

Phone

(472) 208-7904

NPI assigned

Nov 22, 2024

Organization subpart

No

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

Authorized official

Name

Mary Lynn Campbell, LCAS 30162NPI 1205401833

Title

Owner/Ceo

Phone

(472) 208-7904

Specialties & licenses 2

Addresses

Other names 2

• Mary Lynn Campbell Doing business as
• FORGED BY FIRE COUNSELING SERVICES Former legal business name

Practitioners 1

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

• Mary Lynn Campbell, LCAS 30162

  • Addiction (Substance Use Disorder) Counselor
  • Fayetteville, NC
  • NPI 1205401833
  NPD Authorized official

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

{
    "created_epoch": "1732233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1609691757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 VANDENBERG DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283127639",
            "telephone_number": "472-208-7904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 VANDENBERG DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283127639",
            "telephone_number": "472-208-7904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORGED BY FIRE COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-22",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "472-208-7904",
        "authorized_official_credential": "LCAS 30162"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mary Lynn Campbell",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FORGED BY FIRE COUNSELING SERVICES",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Addiction (Substance Use Disorder) Counselor in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.