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CAMILLE CAMPBELL MFT
NPI 1679080980
Marriage & Family Therapist in Los Angeles, CA

Active since January 08, 2018Opted out of Medicare · through Jan 1, 2028
8170 BEVERLY BLVD STE 203, LOS ANGELES, CA 90048(424) 279-8336 Get Directions Write a Review

NPPES record last updated: January 8, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Camille Campbell Mft NPPES

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

CAMILLE CAMPBELL MFT (NPI 1679080980) is an individual marriage & family therapist in Los Angeles, California, licensed in California (82914) and active in the NPI registry since January 2018. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1679080980
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameCAMILLE CAMPBELLCredential: MFT
Location Address8170 BEVERLY BLVD STE 203Los Angeles, CA 90048-4532
Mailing Address2401 Cazaux PlLos Angeles, CA 90068-2436
Phone(424) 279-8336
Sole ProprietorYes
Enumeration DateJanuary 8, 2018
✔ NPI 1679080980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 82914
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
8170 BEVERLY BLVD STE 203, Los Angeles, CA 90048
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Camille Campbell Mft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 3

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

KATE FRANCES CLARK LMFT
Marriage & Family Therapist
8170 BEVERLY BLVD STE 203
LOS ANGELES, CA 90048
Los Angeles County (323) 786-3772
HANNAH NICOLE DEMETER LMFT
Marriage & Family Therapist
8170 BEVERLY BLVD STE 203
LOS ANGELES, CA 90048
Los Angeles County (818) 839-0677
CAMILLE CAMPBELL A MARRIAGE AND FAMILY THERAPY CORPORATION
Marriage & Family Therapist
8170 BEVERLY BLVD STE 203
LOS ANGELES, CA 90048
Los Angeles County (310) 897-0974

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 Camille Campbell's NPI number?

The NPI number for Camille Campbell is 1679080980. It was assigned to this individual provider in the NPPES registry on January 8, 2018.

Where is Camille Campbell located?

Camille Campbell practices at 8170 Beverly Blvd Ste 203, Los Angeles, CA 90048. The listed phone number is (424) 279-8336.

What is Camille Campbell's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Camille Campbell enrolled in Medicare?

No. Camille Campbell has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Camille Campbell was last updated on January 8, 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.