Terry Campbell, MA, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CC02013 Issued in MN

Practice address

333 Grand Ave Ste 204
Saint Paul, MN 55102-2583

Phone

(651) 294-2307

Fax

(651) 233-5641

NPI assigned

May 18, 2015

Last updated

Apr 13, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mary Terese Campbell Lindeke Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555113600000",
    "number": "1952789349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1917 W FRANKLIN AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554052410",
            "telephone_number": "612-735-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 GRAND AVE STE 204",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022583",
            "telephone_number": "651-294-2307",
            "fax_number": "651-233-5641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1917 W Franklin Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554052410",
            "country_code": "US",
            "telephone_number": "612-735-2259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "TERRY",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-18",
        "last_updated": "2019-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC02013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "CAMPBELL LINDEKE",
            "middle_name": "TERESE",
            "credential": "MA, LPCC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• David Campbell
• Kerry K Campbell, P.T., D.P.T.
• Robert Frederick Campbell, MD MPH
• Shada Marie Campbell, M.S.
• Stephanie K Campbell
• Claudia Campo-Soria, MD
• Mayra Irene Campos, RN
• Ulas Mehmet Camsari, M.D.
• Shannon Canas, MD
• Mallory Candell, LMFT

• Professional Counselor in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2019; 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.