Active NPI
Chantry Helene Joyce Campbell
- Mental Health Counselor
- Colorado Springs, CO
National Provider Identifier
1811584303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- NLC.0110538
- Practice address
- 608 Manitou Blvd
Colorado Springs, CO 80904-3611 - Phone
- (719) 217-1097
- NPI assigned
- Dec 30, 2020
- Last updated
- Jun 3, 2024
- Sex
- Female
- Sole proprietor
- No
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 | NLC.0110538 | CO | Primary |
Addresses
Primary practice location
608 Manitou Blvd
Colorado Springs, CO 80904-3611
Mailing address
608 Manitou Blvd
Colorado Springs, CO 80904-3611
Phone (719) 217-1097
Other practice location 1
435 Gold Pass Hts
Colorado Springs, CO 80906-3882
Phone (719) 785-6821
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 |
|---|---|---|---|
| NLC.0110538 | CO | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Candor Counseling PLLC | Mental Health | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Colorado Springs, CO
- NPI 1174358147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717372800000",
"number": "1811584303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 MANITOU BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809043611",
"telephone_number": "719-217-1097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 MANITOU BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809043611",
"telephone_number": "719-217-1097"
}
],
"practiceLocations": [
{
"address_1": "435 Gold Pass Hts",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809063882",
"country_code": "US",
"telephone_number": "719-785-6821",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPBELL",
"first_name": "CHANTRY",
"middle_name": "HELENE JOYCE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-30",
"last_updated": "2024-06-03",
"certification_date": "2024-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "NLC.0110538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.