JACQUELINE OLIVIA CAMPA LPC
NPI 1710631213
Counselor - Professional in Manassas, VA

Q: What is Jacqueline Campa's NPI number?

The NPI number for Jacqueline Campa is 1710631213. It was assigned to this individual provider in the NPPES registry on February 4, 2022.

Q: What is Jacqueline Campa's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Campa was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since February 04, 2022PECOS Enrolled

7969 ASHTON AVE, MANASSAS, VA 20109(703) 792-7800(703) 792-5699 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jacqueline Olivia Campa Lpc NPPES

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

JACQUELINE OLIVIA CAMPA LPC (NPI 1710631213) is an individual professional provider in Manassas, Virginia, licensed in Virginia (0701011081) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710631213

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameJACQUELINE OLIVIA CAMPACredential: LPC

Location Address7969 ASHTON AVEManassas, VA 20109-2885

Mailing Address7969 Ashton AveManassas, VA 20109-2885 · (703) 792-7800 · Fax (703) 792-5699

Phone(703) 792-7800

Fax(703) 792-5699

Sole ProprietorNo

Enumeration DateFebruary 4, 2022

NPPES CertifiedFebruary 4, 2022

✔ NPI 1710631213 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 VA · 0701011081

7969 ASHTON AVE, Manassas, VA 20109

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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)

Jacqueline Olivia Campa Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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