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MRS. NICHOLE ADELLE CAMPBELL M.A., L.M.H.C.
NPI 1649314592
Counselor - Mental Health in Liverpool, NY

Active since February 16, 2007PECOS EnrolledAccepts Medicare Assignment
290 ELWOOD DAVIS RD STE 222, LIVERPOOL, NY 13088(315) 457-4133 Get Directions Write a Review

NPPES record last updated: May 15, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mrs. Nichole Adelle Campbell M.a., L.m.h.c. NPPES

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

MRS. NICHOLE ADELLE CAMPBELL M.A., L.M.H.C. (NPI 1649314592) is an individual mental health provider in Liverpool, New York, licensed in New York (0034221) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1649314592
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. NICHOLE ADELLE CAMPBELLCredential: M.A., L.M.H.C.
Location Address290 ELWOOD DAVIS RD STE 222Liverpool, NY 13088
Mailing Address290 Elwood Davis Rd Ste 222Liverpool, NY 13088-6193 · (315) 457-4133
Phone(315) 457-4133
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateFebruary 16, 2007
Last NPPES UpdateMay 15, 2018
✔ NPI 1649314592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 0034221
290 ELWOOD DAVIS RD STE 222, Liverpool, NY 13088
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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 and accepts Medicare assignment

Mrs. Nichole Adelle Campbell M.a., L.m.h.c. 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 ID6305376153
PECOS Enrollment IDI20250207002468
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

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

LIFESPAN SPEECH THERAPY LLC
Speech-Language Pathologist
290 ELWOOD DAVIS RD STE 222
LIVERPOOL, NY 13088
Onondaga County (907) 978-4580

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 Nichole Campbell's NPI number?

The NPI number for Nichole Campbell is 1649314592. It was assigned to this individual provider in the NPPES registry on February 16, 2007.

Where is Nichole Campbell located?

Nichole Campbell practices at 290 Elwood Davis Rd Ste 222, Liverpool, NY 13088. The listed phone number is (315) 457-4133.

What is Nichole Campbell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Nichole Campbell enrolled in Medicare?

Yes. Nichole 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 Nichole Campbell was last updated on May 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.