FERN CAMPBELL NPI 1003006594

Counselor in Pocatello, ID

NPI 1003006594 Individual Female Counselor

About FERN CAMPBELL

Fern Campbell is a provider established in Pocatello, Idaho and her medical specialization is counselor. The NPI number of Fern Campbell is 1003006594 and was assigned on July 2007. The practitioner's primary taxonomy code is 101Y00000X with license number LSW2328 (ID). The provider is registered as an individual and her NPI record was last updated 14 years ago.

Fern Campbell is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1003006594

Provider Name FERN CAMPBELL
Provider Location Address2055 GARRETT WAY SUITE 1 POCATELLO, ID 83201
Provider Mailing Address808 N 8TH AVE POCATELLO, ID 83201
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date07-31-2007
Last Update Date07-31-2007


Primary Taxonomy

Taxonomy Code101Y00000X
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.

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



Other Providers at the same location


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

NPI Name / Type Taxonomy Address
1548389661 DAVID L. SORENSEN 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
1427177559 BONNIE M. WILCOX LSW
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
1932228053 TAMI L. RICKERT 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
1578682456 JODI S. BOWEN BS
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
1326167131 JEFFERY B. BARFUSS BS
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
1477672293 BECKY A. TICKNOR BS
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
1710006515 RYAN M. ELLIOTT 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
1881713774 JENIFER J. KIDD BS
Individual
Counselor2055 GARRETT WAY SUITE 1
POCATELLO, ID 83201
(208) 233-7832
1093835753 BRANDON H. BROADHEAD BA
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
1801086020 MARCY HOWELL
Individual
Counselor2055 GARRETT WAY SUITE 1
POCATELLO, ID 83201
(208) 236-1600
1568652782 DANIELLE CAGE
Individual
Counselor2055 GARRETT WAY SUITE 1
POCATELLO, ID 83201
(208) 236-1600

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider 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 Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type 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)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart 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.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary 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.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.