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JACQUELYN A CAMPBELL LPC
NPI 1417469610
Counselor - Professional in Chandler, AZ

Active since October 27, 2017PECOS Enrolled
6909 W RAY RD STE 15, CHANDLER, AZ 85226(234) 716-6408(833) 464-3817 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 9, 2022, Oct 27, 2017 (2 updates tracked since 2017).

About Jacquelyn A Campbell Lpc NPPES

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

JACQUELYN A CAMPBELL LPC (NPI 1417469610) is an individual professional provider in Chandler, Arizona, licensed in Arizona (LPC-18602) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Akron.

NPPES Registry Identity

NPI1417469610
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJACQUELYN A CAMPBELLCredential: LPC
Location Address6909 W RAY RD STE 15Chandler, AZ 85226-1526
Mailing Address6909 W Ray Rd Ste 15Chandler, AZ 85226-1526 · (234) 716-6408 · Fax (833) 464-3817
Phone(234) 716-6408
Fax(833) 464-3817
Sole ProprietorYes
Enumeration DateOctober 27, 2017
Last NPPES UpdateDecember 21, 20232 updates tracked since enumeration
NPPES CertifiedDecember 21, 2023
✔ NPI 1417469610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AZ · LPC-18602
Also ListedCounselorTaxonomy 101Y00000X · License CP5573-R (NV), LPC-18602 (AZ)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License CP5573-R (NV), LPC-18602 (AZ), C.1700534 (OH)
6909 W RAY RD STE 15, Chandler, AZ 85226
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Secondary Practice Location 1

Location 1445 N Main StAkron, OH 44310-3146 · Phone (234) 334-5441 ext. 3204

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, 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)

Jacquelyn A 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.

Other Providers at the Same Location NPPES 4

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

TIMOTHY DAVID MARRINAN
Counselor (Mental Health)
6909 W RAY RD STE 15
CHANDLER, AZ 85226
Maricopa County (602) 935-4287
UPSIDE OF CHAT CONSULTING & THERAPY LLC
Counselor (Mental Health)
6909 W RAY RD STE 15
CHANDLER, AZ 85226
Maricopa County (234) 716-6408
PARKER FUCHS LPC
Counselor (Mental Health)
6909 W RAY RD STE 15
CHANDLER, AZ 85226
Maricopa County (480) 531-1076
SHELLEY L CORRIGAN
Social Worker (Clinical)
6909 W RAY RD STE 15
CHANDLER, AZ 85226
Maricopa County (480) 851-4041

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 Jacquelyn Campbell's NPI number?

The NPI number for Jacquelyn Campbell is 1417469610. It was assigned to this individual provider in the NPPES registry on October 27, 2017.

Where is Jacquelyn Campbell located?

Jacquelyn Campbell practices at 6909 W Ray Rd Ste 15, Chandler, AZ 85226. The listed phone number is (234) 716-6408.

What is Jacquelyn Campbell's specialty?

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

Is Jacquelyn Campbell enrolled in Medicare?

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

What insurance does Jacquelyn Campbell accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., Providence Health Plan and UnitedHealthcare list Jacquelyn 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 Jacquelyn Campbell was last updated on December 21, 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.