KIMYATTA CAMPBELL
NPI 1609206499
Counselor in Roxbury, MA

Active since November 15, 2013
520 DUDLEY ST, ROXBURY, MA 02119(617) 785-5607 Get Directions Write a Review

NPPES record last updated: November 15, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimyatta Campbell NPPES

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

KIMYATTA CAMPBELL (NPI 1609206499) is an individual counselor in Roxbury, Massachusetts and active in the NPI registry since November 2013.

NPPES Registry Identity

NPI1609206499
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKIMYATTA CAMPBELL
Location Address520 DUDLEY STRoxbury, MA 02119-2769
Mailing Address520 Dudley StRoxbury, MA 02119-2769 · (617) 785-5607
Sole ProprietorYes
Enumeration DateNovember 15, 2013
NPI 1609206499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
520 DUDLEY ST, Roxbury, MA 02119

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.

Social Worker (Clinical)
520 DUDLEY ST
ROXBURY, MA 02119
Case Manager/Care Coordinator
520 DUDLEY ST
ROXBURY, MA 02119
Community Health Worker
520 DUDLEY ST
ROXBURY, MA 02119
Counselor (Mental Health)
520 DUDLEY ST
ROXBURY, MA 02119
Counselor (Mental Health)
520 DUDLEY ST
ROXBURY, MA 02119
Counselor (Mental Health)
520 DUDLEY ST
ROXBURY, MA 02119
Counselor (Mental Health)
520 DUDLEY ST
BOSTON, MA 02119
Student in an Organized Health Care Education/Training Program
520 DUDLEY ST
ROXBURY, MA 02119

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 Kimyatta Campbell's NPI number?

The NPI number for Kimyatta Campbell is 1609206499. It was assigned to this individual provider in the NPPES registry on November 15, 2013.

Where is Kimyatta Campbell located?

Kimyatta Campbell practices at 520 Dudley St, Roxbury, MA 02119. The listed phone number is (617) 785-5607.

What is Kimyatta Campbell's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kimyatta Campbell was last updated on November 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.