Active NPI
Ferrando Campbell, LMHC
- Mental Health Counselor
- Dorchester Center, MA
National Provider Identifier
1801066782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 7591
- Practice address
- 995 Blue Hill Ave
Dorchester Center, MA 02124-2828 - Phone
- (617) 822-0829
- Fax
- (617) 825-7804
- NPI assigned
- Mar 6, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 7591 | MA | Primary |
Addresses
Primary practice location
995 Blue Hill Ave
Dorchester Center, MA 02124-2828
Mailing address
995 Blue Hill Avenue
Abac, Inc.
Boston, MA 02124
Phone (617) 822-0829
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1303414 | Medicaid | MA |
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 |
|---|---|---|---|
| 7591 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375401600000",
"number": "1801066782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "995 BLUE HILL AVENUE",
"address_2": "ABAC, INC.",
"city": "BOSTON",
"state": "MA",
"postal_code": "02124",
"telephone_number": "617-822-0829",
"fax_number": "671-825-7804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "995 BLUE HILL AVE",
"city": "DORCHESTER CENTER",
"state": "MA",
"postal_code": "021242828",
"telephone_number": "617-822-0829",
"fax_number": "617-825-7804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "FERRANDO",
"name_prefix": "Mr.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-06",
"last_updated": "2013-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "7591",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1303414",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dorchester Center, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.