FERN CAMPBELL NPI 1003006594

Counselor in Pocatello, ID

About FERN CAMPBELL

Fern Campbell is a provider in Pocatello, ID. The NPI number assigned to this provider is 1003006594. The practitioner's primary taxonomy code is Counselor (101Y00000X). The provider is registered as an individual and their NPI record was last updated 10 years ago.

NPI1003006594 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name FERN CAMPBELL
Provider Location Address2055 GARRETT WAY SUITE 1 POCATELLO, ID 83201 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address808 N 8TH AVE POCATELLO, ID 83201 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date07-31-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date07-31-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

FERN CAMPBELL
2055 GARRETT WAY
SUITE 1
POCATELLO, ID
ZIP 83201
Phone: (208) 236-1600
Fax: (208) 236-6695
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Mailing Address

FERN CAMPBELL
808 N 8TH AVE
POCATELLO, ID
ZIP 83201
Phone: (208) 236-1600
Fax: (208) 236-6695

Primary Taxonomy

Taxonomy Code101Y00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationCounselor
TypeBehavioral Health & Social Service Providers
License No.LSW2328
License StateID
Taxonomy DescriptionA provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Map Location


FERN CAMPBELL address is 2055 GARRETT WAY SUITE 1 POCATELLO, ID 83201

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1093835753 BRANDON H. BROADHEAD BA
Individual
Counselor2055 GARRETT WAY SUITE 1
POCATELLO, ID 83201
(208) 233-7832
1114129798PORTNEUF VALLEY FAMILY CENTER
Organization
Counselor2055 GARRETT WAY SUITE 1
POCATELLO, ID 83201
(208) 233-7832
1326167131 JEFFERY B. BARFUSS BS
Individual
Counselor2055 GARRETT WAY SUITE 1
POCATELLO, ID 83201
(208) 233-7832
1326167297 JAMES T. NOESEN
Individual
Counselor2055 GARRETT WAY SUITE 1
POCATELLO, ID 83201
(208) 233-7832
1427177559 BONNIE M. WILCOX LSW
Individual
Counselor2055 GARRETT WAY SUITE 1
POCATELLO, ID 83201
(208) 233-7832
1457470205 HEIDI M. NAPIER BS
Individual
Counselor2055 GARRETT WAY SUITE 1
POCATELLO, ID 83201
(208) 233-7832
1477672293 BECKY A. TICKNOR BS
Individual
Counselor2055 GARRETT WAY SUITE 1
POCATELLO, ID 83201
(208) 233-7832
1497874523 MARIAH J. CANTU LSW
Individual
Counselor2055 GARRETT WAY SUITE 1
POCATELLO, ID 83201
(208) 233-7832
1528188273 BRIAN D. BEUTLER LMSW
Individual
Counselor2055 GARRETT WAY SUITE 1
POCATELLO, ID 83201
(208) 233-7832
1548389661 DAVID L. SORENSEN BS
Individual
Counselor2055 GARRETT WAY SUITE 1
POCATELLO, ID 83201
(208) 233-7832
1578682456 JODI S. BOWEN BS
Individual
Counselor2055 GARRETT WAY SUITE 1
POCATELLO, ID 83201
(208) 233-7832
1578789392 STACI J. BRISCOE LSW
Individual
Counselor2055 GARRETT WAY SUITE 1
POCATELLO, ID 83201
(208) 233-7832
1700076916 JACKIE BIRRER-ATKINSON
Individual
Counselor2055 GARRETT WAY SUITE 1
POCATELLO, ID 83201
(208) 236-1600
1710006515 RYAN M. ELLIOTT BS
Individual
Counselor2055 GARRETT WAY SUITE 1
POCATELLO, ID 83201
(208) 233-7832
1780703819 DEBBIE R. TIDWELL LSW
Individual
Counselor2055 GARRETT WAY SUITE 1
POCATELLO, ID 83201
(208) 233-7832
1851410658 STEPHEN C. FOX BS
Individual
Counselor2055 GARRETT WAY SUITE 1
POCATELLO, ID 83201
(208) 233-7832
1871719211PORTNEUF VALLEY FAMILY CENTER
Organization
Counselor2055 GARRETT WAY SUITE 1
POCATELLO, ID 83201
(208) 233-7832
1881713774 JENIFER J. KIDD BS
Individual
Counselor2055 GARRETT WAY SUITE 1
POCATELLO, ID 83201
(208) 233-7832
1932228053 TAMI L. RICKERT LSW
Individual
Counselor2055 GARRETT WAY SUITE 1
POCATELLO, ID 83201
(208) 233-7832
1952420838 CINDY L. JANES
Individual
Counselor2055 GARRETT WAY SUITE 1
POCATELLO, ID 83201
(208) 233-7832