Individual provider Active NPI

Jacqueline C. Campbell, ND, LPC-S

  • Mental Health Counselor
  • Dallas, TX
National Provider Identifier
1922524362
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
76096 Issued in TX
Practice address
4514 Cole Ave Ste 600
Dallas, TX 75205-4193
Phone
(682) 587-9859
NPI assigned
Aug 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 76096 TX Primary

Addresses

Primary practice location

4514 Cole Ave Ste 600
Dallas, TX 75205-4193

Mailing address

7402 Lake Ridge Pkwy Apt 8323
Grand Prairie, TX 75054-0418
Phone (682) 587-9859

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

State licenses

LicenseStateTypeSpecialty
76096TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
NPI 1568051415 Mental Health CurrentSince Feb 18, 2024 Accepting new patients

Locations

717 W Main St
Midlothian, TX 76065
Phone (214) 235-9087

NPI Registry JSON

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1922524362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7402 LAKE RIDGE PKWY APT 8323",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750540418",
            "telephone_number": "682-587-9859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4514 COLE AVE STE 600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752054193",
            "telephone_number": "682-587-9859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JACQUELINE",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "ND, LPC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-17",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "76096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.

Verify at the official NPI Registry.