Active NPI
Ebony Nicole Campbell
- Mental Health Counselor
- Huntington Park, CA
National Provider Identifier
1902550304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 2677 Zoe Ave
Huntington Park, CA 90255-4195 - Phone
- (703) 578-6030
- NPI assigned
- Feb 5, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2677 Zoe Ave
Huntington Park, CA 90255-4195
Mailing address
1360 S Figueroa St Apt 408
Los Angeles, CA 90015-2884
Phone (774) 777-0205
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778025600000",
"number": "1902550304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1360 S FIGUEROA ST APT 408",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900152884",
"telephone_number": "774-777-0205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2677 ZOE AVE",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902554195",
"telephone_number": "703-578-6030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "EBONY",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-05",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.