Jonathan Randolph Campbell, LPC CANDIDATE

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

11928 Issued in OK

Practice address

1016 SW 44TH St Ste 500
Oklahoma City, OK 73109-3615

Phone

(405) 605-4249

NPI assigned

Jan 9, 2024

Sex

Male

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

Enrolled in OK

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

Specialty

Mental Health Counselor

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Hands to Guide You Inc

  • Community/Behavioral Health Agency
  • Oklahoma City, OK
  • NPI 1245581594
  Medicare reassignment NPD

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1922879030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 N PHILADELPHIA AVE APT B",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748017032",
            "telephone_number": "405-585-3195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 SW 44TH ST STE 500",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093615",
            "telephone_number": "405-605-4249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JONATHAN",
        "middle_name": "RANDOLPH",
        "credential": "LPC CANDIDATE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "11928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jazmyne Aliyah Campbell
• Jeffrey Ryan Campbell
• Jennifer Anne Campbell, MHR, LPC
• Jeremy Campbell
• John William Campbell, PHD, MS, CCC-SLP
• Joshua Ray Campbell
• Kayla Campbell
• Lacey Campbell, FNP, NP-C
• Ladonna Joy Campbell, PTA
• Linda Marie Campbell

• Mental Health Counselor in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.