Jenna Marie Campbell, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

113804 Issued in TX

Practice address

1881 Sylvan Ave # 150
Dallas, TX 75208-2083

Phone

(214) 743-1200

NPI assigned

Jun 4, 2012

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

State licenses

Practice roles

Locations

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.

• Dallas County Mental Health & Mental Retardation Center

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1023239886
  NPD

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1982965265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 SYLVAN AVE # 150",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752082083",
            "telephone_number": "409-782-5347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 SYLVAN AVE # 150",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752082083",
            "telephone_number": "214-743-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8020 River Stone Dr",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "22407",
            "country_code": "US",
            "telephone_number": "409-782-5347",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6376 Dawes Dr",
            "address_purpose": "LOCATION",
            "city": "King George",
            "state": "VA",
            "postal_code": "224857154",
            "country_code": "US",
            "telephone_number": "409-782-5347",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6755 Phelan Blvd",
            "address_2": "Suite 38",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777066075",
            "country_code": "US",
            "telephone_number": "409-554-4616",
            "fax_number": "409-554-4617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JENNA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-04",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119008100",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "113804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grant Daniel Campbell, DC
• Gregory Campbell, PT
• Jacqueline C. Campbell, ND, LPC-S
• Jaime Albert Campbell, M.D., M.S.
• Jarrett Campbell, MD
• Jennifer Lynn Campbell, ACNP
• Jessica Brian Campbell, M.D.
• Jillian M Campbell, PT, DPT
• John Campbell, LCSW, LCDC, CSAT
• Kaitlin P Campbell, LCSW

• Occupational Therapist in Dallas, TX
• Providers in Dallas, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.