Active NPI
John Glenn Campbell, LCDCIII
- Addiction (Substance Use Disorder) Counselor
- Cincinnati, OH
National Provider Identifier
1962843250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 111013
- Practice address
- 6460 Harrison Ave Ste 200
Cincinnati, OH 45247-7958 - Phone
- (513) 941-4999
- NPI assigned
- Jul 15, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 111013 | OH | Primary |
Addresses
Primary practice location
6460 Harrison Ave Ste 200
Cincinnati, OH 45247-7958
Mailing address
5377 Palm Lane
Cleves, OH 45002-9363
Phone (513) 227-4106
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111013 | OH | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541030400000",
"number": "1962843250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5377 PALM LANE",
"city": "CLEVES",
"state": "OH",
"postal_code": "450029363",
"telephone_number": "513-227-4106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6460 HARRISON AVE STE 200",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452477958",
"telephone_number": "513-941-4999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "JOHN",
"middle_name": "GLENN",
"credential": "LCDCIII",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-15",
"last_updated": "2018-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "111013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.