Jillian L. Campbell

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

011774 Issued in NY

Practice address

340 Dogwood Ave Ste 106
Franklin Square, NY 11010-3400

Phone

(516) 505-1717

Fax

(516) 505-1627

NPI assigned

Jan 17, 2020

Last updated

Jan 17, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Shore-Lij Medical PC

  dba NHPP Cardiology at Great Neck

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572
  Medicare reassignment NPD
• Community Counseling Services of West Nassau, Inc.

  • Community/Behavioral Health Agency
  • Franklin Square, NY
  • NPI 1033279963
  NPD

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1912537010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 DOGWOOD AVE STE 106",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110103400",
            "telephone_number": "516-505-1717",
            "fax_number": "516-505-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 DOGWOOD AVE STE 106",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110103400",
            "telephone_number": "516-505-1717",
            "fax_number": "516-505-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JILLIAN",
        "middle_name": "L.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "011774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Caloger
• Anthony Joseph Calvo, D.D.S.
• Jennifer C Camacho
• Daniel C Camillery, M.D.
• Maria Campagna Cinnamo, MS CCC SLP
• Kiara Marie Campoverde
• Fernanda Cantor
• Mary Eileen Canzoneri, MA LMFT
• Jenna Carbonara
• Naelyn Del Carmen Carrasco

• Mental Health Counselor in Franklin Square, NY
• Providers in Franklin Square, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.