Individual provider Active NPI

Joann Lee Campbell, LMHC

  • Mental Health Counselor
  • Ellensburg, WA
National Provider Identifier
1750440137
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00004954 Issued in WA
Practice address
2302 W Dolarway Rd Ste 2
Ellensburg, WA 98926-8081
Phone
(509) 730-2291
Fax
(509) 593-4676
NPI assigned
Dec 8, 2006
Last updated
Jul 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH00004954 WA Primary

Addresses

Primary practice location

2302 W Dolarway Rd Ste 2
Ellensburg, WA 98926-8081

Mailing address

11530 Wilson Creek Rd
Ellensburg, WA 98926-7391
Phone (509) 638-6125

Other practice location 1

316 W Boone Ave Ste 656
Spokane, WA 99201-2346
Phone (509) 730-2291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20240212004379 WA Practitioner - Mental Health Counselor 5092158592 Practice locations: Spokane, WA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

316 W Boone Ave
Suite 656
Spokane, WA 99201-2346
Phone (509) 730-2291

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Neurobehavioral Institute PastSince Apr 1, 2021 Accepting new patients
Optic One Eye Care Centers of Spokane PC PastSince Apr 1, 2021 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1750440137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11530 WILSON CREEK RD",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989267391",
            "telephone_number": "509-638-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 W DOLARWAY RD STE 2",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989268081",
            "telephone_number": "509-730-2291",
            "fax_number": "509-593-4676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "316 W Boone Ave Ste 656",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992012346",
            "country_code": "US",
            "telephone_number": "509-730-2291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JOANN",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00004954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellensburg, WA

Sources for this page

Verify at the official NPI Registry.