Raegan Campbell
Individual provider Active NPI Mental Health Counselor · Flossmoor, IL
NPI 1780166835 · NPPES record last updated Sep 5, 2018
Key facts
- NPI
- 1780166835
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 19530 Kedzie Ave
Flossmoor, IL 60422-1778 - Phone
- (708) 799-2200
- Fax
- (708) 799-2711
- NPI assigned
- Sep 5, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
19530 Kedzie Ave
Flossmoor, IL 60422-1778
Mailing address
17746 Oak Park Ave
Tinley Park, IL 60477-3936
Phone (708) 444-1012
Other providers in Flossmoor, IL
- Daniel J Brown
- Kelli Buckner
- Burnham Medical Center LTD
- Stephanie Butler
- Denise Campbell-Walker
- Caplea Family Medicine
- Andrea Lindley Caplea
- Geoffrey O Caplea
- Caring Hands Wellness, LLC
- David Carroll
All providers in Flossmoor, IL · Mental Health Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.