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MARY CAMPBELL LPC
NPI 1447720453
Counselor - Professional in Smyrna, GA

Active since December 03, 2018PECOS EnrolledAccepts Medicare Assignment
1264 CONCORD RD SE STE 106, SMYRNA, GA 30080(678) 424-8650(678) 424-8652 Get Directions Write a Review

NPPES record last updated: December 3, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Campbell Lpc NPPES

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

MARY CAMPBELL LPC (NPI 1447720453) is an individual professional provider in Smyrna, Georgia, licensed in Georgia (LPC010634) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1447720453
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARY CAMPBELLCredential: LPC
Location Address1264 CONCORD RD SE STE 106Smyrna, GA 30080-5302
Mailing Address1264 Concord Rd Se Ste 106Smyrna, GA 30080-5302 · (678) 424-8650 · Fax (678) 424-8652
Phone(678) 424-8650
Fax(678) 424-8652
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateDecember 3, 2018
✔ NPI 1447720453 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 GA · LPC010634
1264 CONCORD RD SE STE 106, Smyrna, GA 30080
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Campbell Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729438411
PECOS Enrollment IDI20231220003862
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.

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 1447720453. It was assigned to this individual provider in the NPPES registry on December 3, 2018.

Where is Mary Campbell located?

Mary Campbell practices at 1264 Concord Rd SE Ste 106, Smyrna, GA 30080. The listed phone number is (678) 424-8650.

What is Mary Campbell's specialty?

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

Is Mary Campbell enrolled in Medicare?

Yes. Mary Campbell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mary Campbell was last updated on December 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.