Active NPI
Beth Van Kampen, MA, LPCC
- Professional Counselor
- Crystal, MN
National Provider Identifier
1679094502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CC01518
- Practice address
- 7000 57TH Ave N Ste 100
Crystal, MN 55428-3479 - Phone
- (612) 752-8326
- NPI assigned
- Jun 30, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CC01518 | MN | Primary |
Addresses
Primary practice location
7000 57TH Ave N Ste 100
Crystal, MN 55428-3479
Mailing address
7000 57TH Ave N Ste 100
Crystal, MN 55428-3479
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC01518 | MN | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498780800000",
"number": "1679094502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7000 57TH AVE N STE 100",
"city": "CRYSTAL",
"state": "MN",
"postal_code": "554283479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7000 57TH AVE N STE 100",
"city": "CRYSTAL",
"state": "MN",
"postal_code": "554283479",
"telephone_number": "612-752-8326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN KAMPEN",
"first_name": "BETH",
"credential": "MA, LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-30",
"last_updated": "2017-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "CC01518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crystal, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.