Active NPI
Blue Campbell and Associates LLC
- Substance Abuse Rehabilitation Facility
- Baltimore, MD
National Provider Identifier
1942923735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- BLUE CAMPBELL AND ASSOCIATES LLC
- Practice address
- 2645 Wilkens Ave
Baltimore, MD 21223-3314 - Phone
- (443) 904-8216
- Fax
- (443) 708-1443
- NPI assigned
- Sep 26, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lela Blue-Campbell, LCPC-S
- Title
- Executive Director
- Phone
- (443) 904-8216
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
2645 Wilkens Ave
Baltimore, MD 21223-3314
Mailing address
521 Garrison Forest Rd
Owings Mills, MD 21117-4010
Phone (443) 904-8216
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MCO | Medicaid | MD |
National Provider Directory
National Provider Directory- Tax ID family
- Blue Campbell and Associates LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Counselor
- NPI 1588061279
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Baltimore, MD
- NPI 1013319581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664150400000",
"number": "1942923735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 GARRISON FOREST RD",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211174010",
"telephone_number": "443-904-8216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2645 WILKENS AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212233314",
"telephone_number": "443-904-8216",
"fax_number": "443-708-1443"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUE CAMPBELL AND ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-26",
"last_updated": "2022-09-26",
"certification_date": "2022-09-26",
"status": "A",
"authorized_official_last_name": "BLUE-CAMPBELL",
"authorized_official_first_name": "LELA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "443-904-8216",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "LCPC-S"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MCO",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.