Hollie Fay Campbell

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180015266 Issued in IL

Practice address

13728 W Carefree Dr
Homer Glen, IL 60491-8655

Phone

(708) 507-5543

Fax

(708) 966-4244

NPI assigned

Apr 6, 2019

Last updated

Jun 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hollie F Campbell

  • Mental Health Counselor
  • Chicago Heights, IL
  • NPI 1174332951
  NPD Authorized official
• Beyond Healing - a Counseling, Wellness & Personal Growth Center

  dba Beyond Healing Counseling

  • Mental Health Counselor
  • Homer Glen, IL
  • NPI 1164980249
  NPD (past)

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

{
    "created_epoch": "1554508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1659833788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13728 W CAREFREE DR",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604918655",
            "telephone_number": "815-955-8725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13728 W CAREFREE DR",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604918655",
            "telephone_number": "708-507-5543",
            "fax_number": "708-966-4244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "186 Holbrook Rd",
            "address_purpose": "LOCATION",
            "city": "Chicago Heights",
            "state": "IL",
            "postal_code": "604116617",
            "country_code": "US",
            "telephone_number": "708-507-5543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "HOLLIE",
        "middle_name": "FAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-06",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180015266",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.011291",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lynne Burkhart, PT, DPT
• C & a Testing LLC
• Kellie Calderon
• Richard Thomas Caleel, DO
• Jaime Callan
• Ahmet Can, PH.D., LPC, NCC
• Ashley Canny
• Lauren Caratachea
• Heather Carrero, PT, DPT
• Susan A. Carroll, D.D.S.

• Mental Health Counselor in Homer Glen, IL
• Providers in Homer Glen, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.