Megan J. Campbell, Art Therapy Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180.009612 Issued in IL

Legal business name

MEGAN J. CAMPBELL, ART THERAPY INC.

Practice address

750 Almar Pkwy
Suite 205
Bourbonnais, IL 60914-2315

Phone

(815) 214-9754

NPI assigned

Jan 17, 2017

Organization subpart

No

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

Authorized official

Name

Megan J Campbell, LCPC, ATRNPI 1245616275

Title

Clinical Counselor

Phone

(815) 214-9754

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• Megan Joy Campbell, ATR, LCPC

  • Counselor
  • Chicago, IL
  • NPI 1245616275
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1780120584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 ALMAR PKWY",
            "address_2": "SUITE 205",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142315",
            "telephone_number": "815-214-9754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 ALMAR PKWY",
            "address_2": "SUITE 205",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142315",
            "telephone_number": "815-214-9754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEGAN J. CAMPBELL, ART THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CLINICAL COUNSELOR",
        "authorized_official_telephone_number": "815-214-9754",
        "authorized_official_credential": "LCPC, ATR"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.009612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Bourbonnais, IL
• Providers in Bourbonnais, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.