MARY LYNN CAMPBELL LCAS 30162 - NPI 1205401833 - Counselor in Fayetteville, NC

Q: What is Mary Campbell's NPI number?

The NPI number for Mary Campbell is 1205401833. It was assigned to this individual provider in the NPPES registry on May 25, 2021.

Q: What is Mary Campbell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Mary Campbell was last updated on December 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Mary Lynn Campbell Lcas 30162 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY LYNN CAMPBELL LCAS 30162 (NPI 1205401833) is an individual addiction (substance use disorder) provider in Fayetteville, North Carolina, licensed in North Carolina (30162) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205401833

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameMARY LYNN CAMPBELLCredential: LCAS 30162

Location Address1532 VANDENBERG DRFayetteville, NC 28312-7639

Mailing Address1532 Vandenberg DrFayetteville, NC 28312-7639 · (472) 208-7904

Phone(472) 208-7904

Sole ProprietorYes

Enumeration DateMay 25, 2021

Last NPPES UpdateDecember 24, 20243 updates tracked since enumeration

NPPES CertifiedDecember 24, 2024

✔ NPI 1205401833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in NC · 30162

1532 VANDENBERG DR, Fayetteville, NC 28312

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Lynn Campbell Lcas 30162 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FORGED BY FIRE COUNSELING SERVICES, LLC

Counselor (Addiction (Substance Use Disorder))

1532 VANDENBERG DR
FAYETTEVILLE, NC 28312

Cumberland County (472) 208-7904

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Campbell's NPI number?

The NPI number for Mary Campbell is 1205401833. It was assigned to this individual provider in the NPPES registry on May 25, 2021.

Where is Mary Campbell located?

Mary Campbell practices at 1532 Vandenberg Dr, Fayetteville, NC 28312. The listed phone number is (472) 208-7904.

What is Mary Campbell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Mary Campbell enrolled in Medicare?

Yes. Mary Campbell is registered in the Medicare PECOS enrollment system.

What insurance does Mary Campbell accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, Providence Health Plan and UnitedHealthcare list Mary Campbell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Campbell was last updated on December 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.