Active NPI
Cole Campo
- Professional Counselor
- Lake Charles, LA
National Provider Identifier
1659995629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 1409 Kirkman St
Lake Charles, LA 70601-5344 - Phone
- (337) 419-3586
- NPI assigned
- Jun 4, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
1409 Kirkman St
Lake Charles, LA 70601-5344
Mailing address
1117 Kirkman St
Lake Charles, LA 70601-5317
Phone (337) 414-8379
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1322 Elton Rd
Suite P
Jennings, LA 70546-4100
Phone (337) 824-2282
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edwards Family Medicine a Professional Medical Corporation | Current | Accepting new patients |
Locations
1322 Elton Rd
Ste P
Jennings, LA 70546
Phone (337) 494-3278
Organizations & group practices 1
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.
-
- Rural Health Clinic/Center
- Jennings, LA
- NPI 1619236569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723593600000",
"number": "1659995629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1117 KIRKMAN ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706015317",
"telephone_number": "337-414-8379",
"fax_number": "337-210-7065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1409 KIRKMAN ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706015344",
"telephone_number": "337-419-3586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPO",
"first_name": "COLE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-04",
"last_updated": "2024-08-14",
"certification_date": "2024-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.