MR. TRACY DANIEL CAMPBELL CAS
NPI 1861753493
Counselor - Addiction (Substance Use Disorder) in Shasta Lake, CA

Q: What is Tracy Campbell's NPI number?

The NPI number for Tracy Campbell is 1861753493. It was assigned to this individual provider in the NPPES registry on May 30, 2012.

Q: What is Tracy Campbell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Tracy Campbell was last updated on May 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 May 30, 2012

5010 SHASTA DAM BLVD, SHASTA LAKE, CA 96019(530) 275-1076(530) 275-3717 Get Directions Write a Review

NPPES record last updated: May 30, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Tracy Daniel Campbell Cas NPPES

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

MR. TRACY DANIEL CAMPBELL CAS (NPI 1861753493) is an individual addiction (substance use disorder) provider in Shasta Lake, California, licensed in California (03-084213) and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1861753493

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameMR. TRACY DANIEL CAMPBELLCredential: CAS

Location Address5010 SHASTA DAM BLVDShasta Lake, CA 96019-9406

Mailing Address5010 Shasta Dam BlvdShasta Lake, CA 96019-9406 · (530) 275-1076 · Fax (530) 275-3717

Phone(530) 275-1076

Fax(530) 275-3717

Sole ProprietorNo

Enumeration DateMay 30, 2012

✔ NPI 1861753493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in CA · 03-084213

5010 SHASTA DAM BLVD, Shasta Lake, CA 96019

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Other Providers at the Same Location NPPES

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

MRS. KATHRYN JOCELYN NUSS CASII, NCACI

Counselor (Addiction (Substance Use Disorder))

5010 SHASTA DAM BLVD
SHASTA LAKE, CA 96019

Shasta County (530) 275-1076

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 Tracy Campbell's NPI number?

The NPI number for Tracy Campbell is 1861753493. It was assigned to this individual provider in the NPPES registry on May 30, 2012.

Where is Tracy Campbell located?

Tracy Campbell practices at 5010 Shasta Dam Blvd, Shasta Lake, CA 96019. The listed phone number is (530) 275-1076.

What is Tracy Campbell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Tracy Campbell was last updated on May 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.