Christa Jacqueline Campbell, LMFT, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P1709350 Issued in AR

Practice address

910 NW 7TH St
Bentonville, AR 72712-4565

Phone

(479) 310-0755

NPI assigned

Sep 18, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Tara M. Cole, PH.D., P.a.

  • Clinical Psychologist
  • Bentonville, AR
  • NPI 1619307204
  NPD (past)

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1942729397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 GARDEN PL",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123804",
            "telephone_number": "479-310-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 NW 7TH ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727124565",
            "telephone_number": "479-310-0755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3214 NW Avignon Way Ste 2",
            "address_purpose": "LOCATION",
            "city": "Bentonville",
            "state": "AR",
            "postal_code": "727124192",
            "country_code": "US",
            "telephone_number": "479-271-8778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "CHRISTA",
        "middle_name": "JACQUELINE",
        "name_prefix": "Mrs.",
        "credential": "LMFT, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-18",
        "last_updated": "2022-07-21",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AR",
            "license": "M1709029",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1709350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachelle K Calhoun
• Caliber of NW Arkansas LLC (Caliber Care & Transport)
• Melina Callaway
• Camp Interventional Pain Associates, PLLC
• Nicholas Benjamin Camp, MD
• David Campbell
• Erich C Campbell
• Joanne Michelle Campbell, MHPP
• Daniel Cannon
• Cark Care of Ar, LLC

• Professional Counselor in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.