Campbell Family Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.015586 Issued in IL

Legal business name

CAMPBELL FAMILY COUNSELING LLC

Practice address

2000 W Pioneer Pkwy Ste 6
Peoria, IL 61615-1883

Phone

(309) 253-2471

Fax

(309) 692-2052

NPI assigned

Jan 29, 2018

Organization subpart

No

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

Authorized official

Name

Shawna Apple

Title

Authorized Official

Phone

(480) 225-8588

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Audrey Campbell, MSW

  • Clinical Social Worker
  • Peoria, IL
  • NPI 1588904486
  NPD (past)
• Lisa Suzanne Smith

  • Counselor
  • Peoria, IL
  • NPI 1154294478
  NPD (past)

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517184000000",
    "number": "1760980437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 W PIONEER PKWY STE 6",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151883",
            "telephone_number": "309-253-2471",
            "fax_number": "309-692-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W PIONEER PKWY STE 6",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151883",
            "telephone_number": "309-253-2471",
            "fax_number": "309-692-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL FAMILY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-29",
        "last_updated": "2018-01-29",
        "status": "A",
        "authorized_official_last_name": "APPLE",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "480-225-8588"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.015586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camelot Care Centers, LLC
• Anthony B Cameron, D.O.
• Dorthia D Cameron, NP
• Kacie Loren Cameron
• Vanessa Marie Cameron, D.O.
• Allan C Campbell, M.D.
• Audrey Campbell, MSW
• Corey C Campbell, MSW
• Gordon T Campbell
• Maddison Elizabeth Campbell

• Clinical Social Worker in Peoria, IL
• Providers in Peoria, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; 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.