Active NPI
Lacey Marie Rudisill Campbell, MS, LPC-MHSP
- Professional Counselor
- Nashville, TN
National Provider Identifier
1861908899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3904
- Practice address
- 2021 Richard Jones Rd Ste 350B
Nashville, TN 37215-2871 - Phone
- (615) 479-2859
- NPI assigned
- Dec 28, 2017
- 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 | 3904 | TN | Primary |
Addresses
Primary practice location
2021 Richard Jones Rd Ste 350B
Nashville, TN 37215-2871
Mailing address
405 Brick Path LN Apt 307
Franklin, TN 37064-3184
Phone (704) 648-8016
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3904 | TN | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514419200000",
"number": "1861908899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 BRICK PATH LN APT 307",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370643184",
"telephone_number": "704-648-8016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 RICHARD JONES RD STE 350B",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372152871",
"telephone_number": "615-479-2859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "LACEY",
"middle_name": "MARIE RUDISILL",
"name_prefix": "Mrs.",
"credential": "MS, LPC-MHSP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-28",
"last_updated": "2017-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "3904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.