Michelle Angela Campbell, MA, LMHC, BCBA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

003272-1 Issued in NY

Practice address

10940 Liverpool St
Suite #1
Jamaica, NY 11435-5730

Phone

(718) 297-9825

NPI assigned

Mar 26, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Michelle Angela Dyer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330560000000",
    "number": "1760500276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10940 LIVERPOOL ST",
            "address_2": "SUITE #1",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114355730",
            "telephone_number": "718-297-9825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10940 LIVERPOOL ST",
            "address_2": "SUITE #1",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114355730",
            "telephone_number": "718-297-9825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "MICHELLE",
        "middle_name": "ANGELA",
        "name_prefix": "Ms.",
        "credential": "MA, LMHC, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2012-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "1-11-8757",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "003272-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "DYER",
            "middle_name": "ANGELA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica V Campbell
• Judy Campbell
• Julie Campbell
• Kassandra Maria Campbell
• Martha Lue Campbell
• Nedrick Nedvada Campbell
• Patrick Campbell, CLINICAL MSW INTERN
• Roxanne Campbell
• Yosefiah Campbell, M.S
• Nicholas J Campion, DPM

• Mental Health Counselor in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.