Madisyn Campbell

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

SW141285 Issued in PA

Practice address

1411 Union Blvd
Allentown, PA 18109-1505

Phone

(610) 433-6181

NPI assigned

Apr 29, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Haven House

  • Adult Mental Health Clinic/Center
  • Allentown, PA
  • NPI 1689670507
  NPD (past)

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1891541082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 UNION BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181092423",
            "telephone_number": "610-433-6181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 UNION BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181091505",
            "telephone_number": "610-433-6181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "MADISYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "SW141285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber L Campbell, CRNP
• Carla Beth Campbell, LPT
• Daryla J. Campbell, CRNA
• Jade Elizabeth Campbell, PA-C
• Kyle Campbell, DMD
• Nicholas Campo, MD
• Luis Ismael Campos, M.D.
• Erin Canale
• Keishla Mayrim Cancel Soto
• Waleska Joanne Cancel-Kenyon, M.D.

• Mental Health Counselor in Allentown, PA
• Providers in Allentown, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.