Individual provider Active NPI

Alana Campbell

  • Clinical Social Worker
  • Plano, TX
National Provider Identifier
1619514080
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
66190 Issued in TX
Practice address
3512 Eisenhower LN
Plano, TX 75023-3828
Phone
(972) 918-5951
NPI assigned
Dec 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 66190 TX Primary

Addresses

Primary practice location

3512 Eisenhower LN
Plano, TX 75023-3828

Mailing address

3308 Preston Rd Ste 350-240
Plano, TX 75093-7453
Phone (972) 918-5951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210813001627 TX Practitioner - Clinical Social Worker 3577967496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CCNT IncGroup PAC ID 3173809621, 16 clinicians

Practice addresses (Care Compare)

720 E Park Blvd
204 Counseling Center of North Texas
Plano, TX 75074-8802
Phone (469) 342-3468

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
66190TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
CCNT Inc. Counselor CurrentSince May 29, 2024 Accepting new patients
Ignite Counseling Services PLLC Clinical CurrentSince Mar 19, 2023 Accepting new patients

Locations

3308 Preston Rd
Ste 350240
Plano, TX 75093

720 E Park Blvd
Ste 204
Plano, TX 75074
Phone (469) 342-3468

303 S Highway 78
Ste 100
Wylie, TX 75098
Phone (469) 342-3468

303 S Highway 78
Ste 103
Wylie, TX 75098
Phone (469) 342-3468

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1619514080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3308 PRESTON RD STE 350-240",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937453",
            "telephone_number": "972-918-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3512 EISENHOWER LN",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750233828",
            "telephone_number": "972-918-5951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ALANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-04",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "66190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.