TIMOTHY CAMPBELL BA
NPI 1770059503
Counselor - Mental Health in Rocky River, OH

Active since October 19, 2018Opted out of Medicare · through Oct 20, 2026
20525 DETROIT RD STE 8, ROCKY RIVER, OH 44116(216) 777-8834(216) 502-2291 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 3, 2024, Oct 19, 2018 (2 updates tracked since 2018).

About Timothy Campbell Ba NPPES

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

TIMOTHY CAMPBELL BA (NPI 1770059503) is an individual mental health provider in Rocky River, Ohio, licensed in Ohio (E.2102535) and active in the NPI registry since October 2018. He has opted out of Medicare through October 20, 2026 and maintains a secondary practice location in Youngstown.

NPPES Registry Identity

NPI1770059503
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTIMOTHY CAMPBELLCredential: BA
Location Address20525 DETROIT RD STE 8Rocky River, OH 44116-2444
Mailing Address20525 Detroit Rd Ste 8Rocky River, OH 44116-2444 · (216) 777-8834 · Fax (216) 502-2291
Fax(216) 502-2291
Sole ProprietorNo
Enumeration DateOctober 19, 2018
Last NPPES UpdateOctober 3, 20242 updates tracked since enumeration
NPPES CertifiedOctober 3, 2024
NPI 1770059503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in OH · E.2102535
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License C.1801174-TRNE (OH)
20525 DETROIT RD STE 8, Rocky River, OH 44116

Secondary Practice Location 1

Location 1711 Belmont AveYoungstown, OH 44502-1039 · Phone (330) 793-2487 · Fax (330) 743-5748

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Timothy Campbell Ba 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 October 20, 2024 through October 20, 2026.

Opt-Out Effective DateOctober 20, 2024
Opt-Out In Effect ThroughOctober 20, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

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

Counselor
20525 DETROIT RD STE 8
ROCKY RIVER, OH 44116
Social Worker
20525 DETROIT RD STE 8
ROCKY RIVER, OH 44116
Counselor (Mental Health)
20525 DETROIT RD STE 8
ROCKY RIVER, OH 44116
Counselor (Mental Health)
20525 DETROIT RD STE 8
ROCKY RIVER, OH 44116
Counselor (Professional)
20525 DETROIT RD STE 8
ROCKY RIVER, OH 44116
Social Worker
20525 DETROIT RD STE 8
ROCKY RIVER, OH 44116
Counselor (Mental Health)
20525 DETROIT RD STE 8
ROCKY RIVER, OH 44116

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 Timothy Campbell's NPI number?

The NPI number for Timothy Campbell is 1770059503. It was assigned to this individual provider in the NPPES registry on October 19, 2018.

Where is Timothy Campbell located?

Timothy Campbell practices at 20525 Detroit Rd Ste 8, Rocky River, OH 44116. The listed phone number is (216) 777-8834.

What is Timothy Campbell's specialty?

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

Is Timothy Campbell enrolled in Medicare?

No. Timothy Campbell has opted out of Medicare through October 20, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Timothy Campbell accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 2 other insurers list Timothy Campbell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Timothy Campbell was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.