Active NPI
Christopher Campbell, LPC
- Professional Counselor
- Little Rock, AR
National Provider Identifier
1760934624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P2101144
- Practice address
- 10801 Executive Center Dr Ste 303
Little Rock, AR 72211-4303 - Phone
- (501) 506-1587
- Fax
- (501) 298-2165
- NPI assigned
- Oct 26, 2016
- Sex
- Male
- Sole proprietor
- No
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 | P2101144 | AR | Primary |
Addresses
Primary practice location
10801 Executive Center Dr Ste 303
Little Rock, AR 72211-4303
Mailing address
10801 Executive Center Dr Ste 303
Little Rock, AR 72211-4303
Phone (501) 506-1587
Other practice location 1
4354 Stockton Dr
North Little Rock, AR 72117-2917
Phone (501) 955-7600
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P2101144 | AR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Counseling Associates Inc. | Past | Accepting new patients | |
| Coco Psychiatric Services PLLC | 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Little Rock, AR
- NPI 1326647918
-
- Community/Behavioral Health Agency
- North Little Rock, AR
- NPI 1437164977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698883200000",
"number": "1760934624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10801 EXECUTIVE CENTER DR STE 303",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722114303",
"telephone_number": "501-506-1587",
"fax_number": "501-298-2165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10801 EXECUTIVE CENTER DR STE 303",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722114303",
"telephone_number": "501-506-1587",
"fax_number": "501-298-2165"
}
],
"practiceLocations": [
{
"address_1": "4354 Stockton Dr",
"address_purpose": "LOCATION",
"city": "North Little Rock",
"state": "AR",
"postal_code": "721172917",
"country_code": "US",
"telephone_number": "501-955-7600",
"fax_number": "501-955-7612",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPBELL",
"first_name": "CHRISTOPHER",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-26",
"last_updated": "2023-11-02",
"certification_date": "2023-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P2101144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.