Organization Active NPI

Gina Campbell Counseling, LLC

  • Clinical Social Worker
  • West Des Moines, IA
National Provider Identifier
1871853143
Registry record updated Nov 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW003707 Issued in GA
Legal business name
GINA CAMPBELL COUNSELING, LLC
Practice address
1441 29TH St Ste 213
West Des Moines, IA 50266-1330
Phone
(515) 661-4103
NPI assigned
May 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2024

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

Authorized official

Name
Gina Campbell, LCSW
Title
Owner
Phone
(515) 661-4103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X CSW003707 GA Primary

Addresses

Primary practice location

1441 29TH St Ste 213
West Des Moines, IA 50266-1330

Mailing address

1441 29TH St Ste 213
West Des Moines, IA 50266-1330
Phone (515) 661-4103

National Provider Directory

National Provider Directory

Locations

118 E Maple St
Decatur, GA 30030
Phone (404) 478-3016

3209 Ingersoll Ave
Des Moines, IA 50312
Phone (515) 512-4254

3209 Ingersoll Ave
Ste 105
Des Moines, IA 50312
Phone (515) 512-4254

1441 29th St
Ste 213
West Des Moines, IA 50266
Phone (515) 661-4103

NPI Registry JSON

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732924800000",
    "number": "1871853143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 29TH ST STE 213",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661330",
            "telephone_number": "515-661-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 29TH ST STE 213",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661330",
            "telephone_number": "515-661-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINA CAMPBELL COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2024-11-30",
        "certification_date": "2024-11-30",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-661-4103",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.

Verify at the official NPI Registry.