Active NPI
Joy Rose Campbell, LPC
- Professional Counselor
- Round Rock, TX
National Provider Identifier
1821236407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 62784
- Practice address
- 107 Fannin Ave
Round Rock, TX 78664-5218 - Phone
- (512) 809-8679
- Fax
- (512) 285-4648
- NPI assigned
- Feb 4, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 62784 | TX | Primary |
Addresses
Primary practice location
107 Fannin Ave
Round Rock, TX 78664-5218
Mailing address
107 Fannin Ave
Round Rock, TX 78664-5218
Phone (512) 809-8679
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200730402 | Medicaid | TX |
Other names 1
- Ms. Joy R Feldkamp-Lehtola
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 25, 2024 through Mar 25, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62784 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461888000000",
"number": "1821236407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 FANNIN AVE",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786645218",
"telephone_number": "512-809-8679",
"fax_number": "512-285-4648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 FANNIN AVE",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786645218",
"telephone_number": "512-809-8679",
"fax_number": "512-285-4648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "JOY",
"middle_name": "ROSE",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-04",
"last_updated": "2016-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "62784",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200730402",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JOY",
"last_name": "FELDKAMP-LEHTOLA",
"middle_name": "R",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.