JACQUELINE MARIE CAMPBELL LMFT
NPI 1396490603
Counselor - Mental Health in Ooltewah, TN
About Jacqueline Marie Campbell Lmft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE MARIE CAMPBELL LMFT (NPI 1396490603) is an individual mental health provider in Ooltewah, Tennessee, licensed in Tennessee (1639) and active in the NPI registry since February 2022. She has opted out of Medicare through February 21, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Jacqueline Marie Campbell Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 21, 2024 through February 21, 2028.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jacqueline Campbell's NPI number?
The NPI number for Jacqueline Campbell is 1396490603. It was assigned to this individual provider in the NPPES registry on February 15, 2022.
Where is Jacqueline Campbell located?
Jacqueline Campbell practices at 6011 Chesterton Way Ste 209, Ooltewah, TN 37363. The listed phone number is (423) 715-8099.
What is Jacqueline Campbell's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jacqueline Campbell enrolled in Medicare?
No. Jacqueline Campbell has opted out of Medicare through February 21, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Jacqueline Campbell was last updated on December 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.