Rafael Jay Campbell, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

2020041126 Issued in MO

Practice address

1004 Baltimore Ave Apt 1006
Kansas City, MO 64105-1860

Phone

(312) 933-7711

NPI assigned

Dec 6, 2023

Last updated

Dec 6, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1629845946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 BALTIMORE AVE APT 1006",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641051860",
            "telephone_number": "312-933-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 BALTIMORE AVE APT 1006",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641051860",
            "telephone_number": "312-933-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "RAFAEL",
        "middle_name": "JAY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2020041126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerry Jeanne Campbell, ARNP, ANP-BC
• Lisa Beth Campbell, MD
• Margaret Rose Campbell, MD
• Melissa Claire Campbell, PSY.D.
• Neal F Campbell, MD
• Robert Campbell
• Tina L Campbell
• Amber Camper
• John Campobasso, DO
• Daniel Campos Machado Da Silva, LPC

• Counselor in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.