Active NPI
Tashea Campbell, LPCCS
- Professional Counselor
- Athens, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.1901013-SUPV
- Practice address
- 11 Graham Dr
Athens, OH 45701-1430 - Phone
- (800) 321-8293
- Fax
- (800) 321-8293
- NPI assigned
- Dec 21, 2015
- Last updated
- Apr 14, 2026
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E.1901013-SUPV | OH | Primary |
Addresses
Primary practice location
11 Graham Dr
Athens, OH 45701-1430
Mailing address
102 W Main St Unit 902
New Albany, OH 43054-9191
Phone (614) 383-8375
Other practice location 1
102 W Main St Unit 902
New Albany, OH 43054-9191
Phone (614) 383-8375
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0309438 | Medicaid | OH | |
| 0013330 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
102 W Main St
Unit 902
New Albany, OH 43054-9191
PO Box
Athens, OH 45701
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E.1901013-SUPV | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Services for Behavioral Health | Current | Accepting new patients | |
| Vessels Counseling Consultants LLC | Professional | Current | Accepting new patients |
| Integrated Services for Behavioral Health | Past | Accepting new patients |
Locations
11 Graham Dr
Athens, OH 45701
Phone (740) 594-6807
102 W Main St
Unit 902
New Albany, OH 43054
Phone (614) 383-8375
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/isaoh/r4/
Organizations & group practices 3
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.
-
- Clinical Social Worker
- Nelsonville, OH
- NPI 1073578431
-
- Professional Counselor
- New Albany, OH
- NPI 1558872697
-
- Community/Behavioral Health Agency
- Nelsonville, OH
- NPI 1205196201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776124800000",
"number": "1932564770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 W MAIN ST UNIT 902",
"city": "NEW ALBANY",
"state": "OH",
"postal_code": "430549191",
"telephone_number": "614-383-8375",
"fax_number": "614-983-1106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 GRAHAM DR",
"city": "ATHENS",
"state": "OH",
"postal_code": "457011430",
"telephone_number": "800-321-8293",
"fax_number": "800-321-8293"
}
],
"practiceLocations": [
{
"address_1": "102 W Main St Unit 902",
"address_purpose": "LOCATION",
"city": "New Albany",
"state": "OH",
"postal_code": "430549191",
"country_code": "US",
"telephone_number": "614-383-8375",
"fax_number": "614-983-1106",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPBELL",
"first_name": "TASHEA",
"credential": "LPCCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-21",
"last_updated": "2026-04-14",
"certification_date": "2026-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.1901013-SUPV",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0309438",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0013330",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Athens, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.