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MRS. TYESHA L CAMPBELL LPC
NPI 1578179172
Counselor - Professional in Washington, DC

Active since September 18, 2020PECOS Enrolled
828 EVARTS ST NE, WASHINGTON, DC 20018(202) 529-2972 Get Directions Write a Review

NPPES record last updated: September 18, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mrs. Tyesha L Campbell Lpc NPPES

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

MRS. TYESHA L CAMPBELL LPC (NPI 1578179172) is an individual professional provider in Washington, District Of Columbia, licensed in District Of Columbia (PRC14904) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1578179172
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. TYESHA L CAMPBELLCredential: LPC
Location Address828 EVARTS ST NEWashington, DC 20018-1722
Mailing Address1211 Ivy Club Ln Apt 2123Hyattsville, MD 20785-4514 · (202) 438-7445
Phone(202) 529-2972
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 18, 2020
NPPES CertifiedSeptember 18, 2020
✔ NPI 1578179172 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 DC · PRC14904
828 EVARTS ST NE, Washington, DC 20018
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Tyesha L Campbell Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557834322
PECOS Enrollment IDI20260623003805
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 20

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

ARTIASE BROWN
Case Manager/Care Coordinator
828 EVARTS ST NE
WASHINGTON, DC 20018
District of Columbia (202) 529-2972
PHILIP FAXIO
Case Manager/Care Coordinator
828 EVARTS ST NE
WASHINGTON, DC 20018
District of Columbia (202) 316-8256
PATHWAYS TO HOUSING DC
Case Management
828 EVARTS ST NE
WASHINGTON, DC 20018
District of Columbia (202) 529-2972
SOPHIE MERSINA TRICK LICSW
Social Worker (Clinical)
828 EVARTS ST NE
WASHINGTON, DC 20018
District of Columbia (202) 848-5716
LASHAWN MOORE
Behavior Technician
828 EVARTS ST NE
WASHINGTON, DC 20018
District of Columbia (202) 848-5716
SEMI OSEMWENGIE OBAZUAYE
Licensed Practical Nurse
828 EVARTS ST NE
WASHINGTON, DC 20018
District of Columbia (202) 529-2972
WILLIAM SHELTON WADE
Case Manager/Care Coordinator
828 EVARTS ST NE
WASHINGTON, DC 20018
District of Columbia (202) 529-2972
PATHWAYS TO HOUSING DC
Clinic/Center (Mental Health (Including Community Mental Health Center))
828 EVARTS ST NE
WASHINGTON, DC 20018
District of Columbia (202) 529-2972

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 Tyesha Campbell's NPI number?

The NPI number for Tyesha Campbell is 1578179172. It was assigned to this individual provider in the NPPES registry on September 18, 2020.

Where is Tyesha Campbell located?

Tyesha Campbell practices at 828 Evarts St NE, Washington, DC 20018. The listed phone number is (202) 529-2972.

What is Tyesha Campbell's specialty?

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

Is Tyesha Campbell enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tyesha Campbell was last updated on September 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.