Active NPI
Laramie Logan Campbell, B.S.
- Counselor
- Enid, OK
National Provider Identifier
1902109002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 300 W Randolph Ave Ste a
Enid, OK 73701-3866 - Phone
- (580) 774-9261
- NPI assigned
- Dec 10, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
300 W Randolph Ave Ste a
Enid, OK 73701-3866
Mailing address
4436 NW 50TH St
Oklahoma City, OK 73112-2212
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
- Bachelor of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291939200000",
"number": "1902109002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4436 NW 50TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731122212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W RANDOLPH AVE STE A",
"city": "ENID",
"state": "OK",
"postal_code": "737013866",
"telephone_number": "580-774-9261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "LARAMIE",
"middle_name": "LOGAN",
"name_prefix": "Mr.",
"credential": "B.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-12-10",
"last_updated": "2010-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Enid, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.