Individual provider Active NPI

Deborah Thomas Campbell, LPC, M. DIV., CAC

  • Counselor
  • Washington, DC
National Provider Identifier
1851456446
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
PRC799 Issued in DC
Practice address
1509 16TH St NW
M-23
Washington, DC 20036-1461
Phone
(202) 289-1510
Fax
(202) 518-8924
NPI assigned
Dec 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X PRC799 DC Primary

Addresses

Primary practice location

1509 16TH St NW
M-23
Washington, DC 20036-1461

Mailing address

1509 16TH St NW
Washington, DC 20036-1461
Phone (202) 289-1510

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
PRC799DCMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness on Purpose LLC Counselor 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403049600000",
    "number": "1851456446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 16TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200361461",
            "telephone_number": "202-289-1510",
            "fax_number": "202-518-8924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 16TH ST NW",
            "address_2": "M-23",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200361461",
            "telephone_number": "202-289-1510",
            "fax_number": "202-518-8924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "DEBORAH",
        "middle_name": "THOMAS",
        "name_prefix": "Mrs.",
        "credential": "LPC, M. DIV., CAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2014-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "DC",
            "license": "PRC799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; 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.