Individual provider Active NPI

Scott D. Campbell, LMFT

  • Marriage & Family Therapist
  • Redmond, WA
National Provider Identifier
1811104367
Registry record updated Mar 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF00002455 Issued in WA
Practice address
7345 164TH Ave NE
Ste I145-1410
Redmond, WA 98052-7846
Phone
(833) 733-0073
Fax
(888) 655-4275
NPI assigned
May 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LF00002455 WA
Marriage & Family Therapist 106H00000X LF00002455 WA Primary

Addresses

Primary practice location

7345 164TH Ave NE
Ste I145-1410
Redmond, WA 98052-7846

Mailing address

7345 164TH Ave NE
Ste I145-1410
Redmond, WA 98052-7846
Phone (833) 733-0073

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

LicenseStateTypeSpecialty
LF00002455WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lminal LLC Mental Health CurrentSince Mar 12, 2023 Accepting new patients

Locations

7345 164th Ave NE
Ste I1451410
Redmond, WA 98052
Phone (833) 733-0073

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677974400000",
    "number": "1811104367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7345 164TH AVE NE",
            "address_2": "STE I145-1410",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980527846",
            "telephone_number": "833-733-0073",
            "fax_number": "888-655-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7345 164TH AVE NE",
            "address_2": "STE I145-1410",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980527846",
            "telephone_number": "833-733-0073",
            "fax_number": "888-655-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "SCOTT",
        "middle_name": "D.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2023-03-05",
        "certification_date": "2023-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LF00002455",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF00002455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2023; 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.