Hubert Alan Campbell, LCMHCA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

A17387 Issued in NC

Practice address

2315 E WT Harris Blvd Ste 102
Charlotte, NC 28213-5133

Phone

(704) 208-4458

Fax

(866) 309-6385

NPI assigned

Mar 8, 2022

Last updated

Mar 8, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1780331900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18021",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282180021",
            "telephone_number": "817-707-9942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 E WT HARRIS BLVD STE 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282135133",
            "telephone_number": "704-208-4458",
            "fax_number": "866-309-6385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "HUBERT",
        "middle_name": "ALAN",
        "credential": "LCMHCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A17387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin L Campbell, OTRL
• Faye Sherwood Campbell, M.D.
• Haley Denise Campbell, BSW
• Heather Eisenson Campbell
• Heidi Campbell, CD(DONA), MBA, CMR
• Jacqueline A Campbell, LRT
• Jacquetta Denise Campbell, LCMHC-A
• Jamie Alexis Weaver Campbell, DO
• Jessica Campbell
• Jessica Kate Campbell, PA

• Professional Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.