Susan Ann Campis

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

995 Helling Way
Nevada City, CA 95959

Phone

(530) 265-7222

NPI assigned

Sep 3, 2008

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Odyssey House

  • Mental Illness Community Based Residential Treatment Facility
  • Nevada City, CA
  • NPI 1558586214
  NPD (past)

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1962650002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 PARK AVE, APT B",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959457256",
            "telephone_number": "530-265-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 HELLING WAY",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "95959",
            "telephone_number": "530-265-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPIS",
        "first_name": "SUSAN",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• California Heritage Indigenous Research Project
• Robert William Callan, MFT
• Jonathan Callas
• Lynn Joyce Cameron, LCSW
• Jenifer Campbell-Lund
• Carey Laine Psychologist,Inc.
• Jennifer Marie Carman
• Joselin Carranza-Balderas, APCC
• Laird David Caruthers, M.D.
• Alison Casey

• Community Health Worker in Nevada City, CA
• Providers in Nevada City, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.