Active NPI
Joann Lee Campbell, LMHC
- Mental Health Counselor
- Ellensburg, WA
National Provider Identifier
1750440137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH00004954
- 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, 2024
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Neurobehavioral Institute | Past | Accepting new patients | |
| Optic One Eye Care Centers of Spokane PC | Past | 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.
-
- Clinical Neuropsychologist
- Spokane, WA
- NPI 1427115765
-
dba Optic One Eye Care
- Optometrist
- Spokane, WA
- NPI 1801948013
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.