Individual provider Active NPI

Tashea Campbell, LPCCS

  • Professional Counselor
  • Athens, OH
National Provider Identifier
1932564770
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.1901013-SUPV Issued in OH
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0309438MedicaidOH
0013330MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251107004160 OH Practitioner - Mental Health Counselor 9133619018 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
E.1901013-SUPVOHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Services for Behavioral Health CurrentSince Sep 29, 2025 Accepting new patients
Vessels Counseling Consultants LLC Professional CurrentSince Mar 19, 2023 Accepting new patients
Integrated Services for Behavioral Health PastSince Sep 29, 2025 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.