KRISTY MARIE CAMPBELL LPC
NPI 1215647649
Counselor - Professional in Tracy, MN

Active since November 28, 2022PECOS Enrolled
10628 160TH ST, TRACY, MN 56175(507) 649-1894 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 4, 2025, Nov 28, 2022 (2 updates tracked since 2022).

About Kristy Marie Campbell Lpc NPPES

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

KRISTY MARIE CAMPBELL LPC (NPI 1215647649) is an individual professional provider in Tracy, Minnesota, licensed in Minnesota (4913) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215647649
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKRISTY MARIE CAMPBELLCredential: LPC
Location Address10628 160TH STTracy, MN 56175-1924
Mailing Address10628 160th StTracy, MN 56175-1924 · (507) 649-1894
Sole ProprietorNo
Enumeration DateNovember 28, 2022
Last NPPES UpdateJune 4, 20252 updates tracked since enumeration
NPPES CertifiedJune 4, 2025
✔ NPI 1215647649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MN · 4913
10628 160TH ST, Tracy, MN 56175

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristy Marie Campbell Lpc 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.

Medicare Billing Reassignment

Medicare enrollment records show Kristy Campbell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Professional
10622 160TH ST
Tracy, MN 56175
  • Reassigned Medicare billing, Minnesota enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kristy Campbell's NPI number?

The NPI number for Kristy Campbell is 1215647649. It was assigned to this individual provider in the NPPES registry on November 28, 2022.

Where is Kristy Campbell located?

Kristy Campbell practices at 10628 160th St, Tracy, MN 56175. The listed phone number is (507) 649-1894.

What is Kristy Campbell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kristy Campbell enrolled in Medicare?

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

Which organization bills Medicare for Kristy Campbell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristy Campbell reassigns Medicare benefits to Safe Haven Counseling PLLC (Tracy, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristy Campbell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristy Campbell accept?

Health plans from HealthPartners and Sanford Health Plan list Kristy 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 Kristy Campbell was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.