Active NPI
Reed Charles Campbell, MA LIMHP LADC
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1841339975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 526
- Practice address
- 319 S 17TH St Ste 232
Omaha, NE 68102-1926 - Phone
- (402) 915-2251
- NPI assigned
- Feb 5, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 766 | NE | |
| Mental Health Counselor | 101YM0800X | 526 | NE | Primary |
Addresses
Primary practice location
319 S 17TH St Ste 232
Omaha, NE 68102-1926
Mailing address
12603 Fowler Ave
Omaha, NE 68164-1996
Phone (402) 915-2251
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 96065 | Other | NE | BCBS |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 766 | NE | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694476800000",
"number": "1841339975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12603 FOWLER AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681641996",
"telephone_number": "402-915-2251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 S 17TH ST STE 232",
"city": "OMAHA",
"state": "NE",
"postal_code": "681021926",
"telephone_number": "402-915-2251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "REED",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "MA LIMHP LADC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-05",
"last_updated": "2023-09-12",
"certification_date": "2023-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NE",
"license": "766",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "526",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "96065",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.