Melanie Campillo, LCPC, CCMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.011147 Issued in IL

Practice address

120 E Ogden Ave
Hinsdale, IL 60521-3542

Phone

(630) 325-5300

NPI assigned

Apr 24, 2012

Last updated

Nov 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Opted out of Medicare

Yes, effective Jan 23, 2024 through Jan 23, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Intrinsic Mental Health, LLC

  • Community/Behavioral Health Agency
  • Westmont, IL
  • NPI 1447916788
  NPD Authorized official

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1710245188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 E DES MOINES ST",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605592004",
            "telephone_number": "630-205-6347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E OGDEN AVE",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213542",
            "telephone_number": "630-325-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPILLO",
        "first_name": "MELANIE",
        "credential": "LCPC, CCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-24",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178007698",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.011147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha E Calden, DO
• Kevin Callahan, DPT
• Alexis M Cameron, LPC
• Emily Marie Cameron
• Daniel J Campbell, M.D.
• Megan Cannon, LCSW
• Anna M Cantlin
• Melissa L Capo-Murray, RST
• Robert Carbone, M.D.
• Cardiac Technologies, Inc.

• Professional Counselor in Hinsdale, IL
• Providers in Hinsdale, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.