Individual provider Active NPI

Brenton Campbell, LPC

  • Professional Counselor
  • Harrisonburg, VA
National Provider Identifier
1730455940
Registry record updated Apr 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701005199 Issued in VA
Practice address
463 E Washington St
Harrisonburg, VA 22802-4853
Phone
(540) 433-3100
NPI assigned
Apr 2, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701005199 VA Primary

Addresses

Primary practice location

463 E Washington St
Harrisonburg, VA 22802-4853

Mailing address

463 E Washington St
Harrisonburg, VA 22802-4853

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240111000726 VA Practitioner - Mental Health Counselor 6103277488 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Harrisonburg-Rockingham Community Services Board CurrentSince Jan 1, 2024 Accepting new patients
Harrisonburg Rockingham Community Services Board Past Accepting new patients

Locations

463 E Washington St
Harrisonburg, VA 22802
Phone (540) 433-3100

1241 N Main St
Harrisonburg, VA 22802
Phone (540) 434-1941

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333324800000",
    "number": "1730455940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 E WASHINGTON ST",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228024853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 E WASHINGTON ST",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228024853",
            "telephone_number": "540-433-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "BRENTON",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-02",
        "last_updated": "2012-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

Verify at the official NPI Registry.