Active NPI
Kimberly Campbell, MA, LPC
- Professional Counselor
- Prescott, AZ
National Provider Identifier
1740733971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC15682
- Practice address
- 141 S McCormick St Ste 111
Prescott, AZ 86303-4730 - Phone
- (623) 512-7073
- NPI assigned
- Jul 23, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | LPC15682 | AZ | Primary |
Addresses
Primary practice location
141 S McCormick St Ste 111
Prescott, AZ 86303-4730
Mailing address
141 S McCormick St Ste 111
Prescott, AZ 86303-4730
Phone (623) 512-7073
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 |
|---|---|---|---|
| LPC15682 | AZ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469232000000",
"number": "1740733971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 S MCCORMICK ST STE 111",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863034730",
"telephone_number": "623-512-7073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 S MCCORMICK ST STE 111",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863034730",
"telephone_number": "623-512-7073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "KIMBERLY",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-23",
"last_updated": "2016-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC15682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.