- Practice location
- 25 NW Park Pl, Bend, OR 97703-2954
- Phone
- 208-577-1595
- Fax
- 541-640-5538
- Last updated
- October 26, 2023
Stacy Ann Campbell is a Counselor, Mental Health based in Bend, OR. Stacy Ann Campbell practices in Bend, OR and has the professional credentials of LPC, RPT. The NPI Number for Stacy Ann Campbell is 1013127141 and holds a License No. LCPC-5865 (ID). The current practice location address for Stacy Ann Campbell is 25 NW Park Pl, Bend, OR 97703-2954 and can be reached out via phone at 208-577-1595 and via fax at 541-640-5538.
Provider Profile Details
- NPI Number
- 1013127141
- Provider Name
- Stacy Ann Campbell
- Credential
- LPC, RPT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 25 NW Park Pl, Bend, OR 97703-2954
- Phone Number
- 208-577-1595
- Fax Number
- 541-640-5538
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 24, 2007
- Last Update Date
- October 26, 2023
- Certification Date
- October 26, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 25 NW Park Pl
Bend, OR 97703-2954 - City
- Bend
- State
- Oregon
- Zip
- 97703-2954
- Phone Number
- 208-577-1595
- Fax Number
- 541-640-5538
Provider Business Mailing Address Details
- Address
- 51485 Birch RD
La Pine, OR 97739-9635 - City
- La Pine
- State
- OR
- Zip
- 97739-9635
- Phone Number
- 208-577-1595
License Information
- License Number (1)
- LCPC-5865
- License State (1)
- ID
- Taxonomy (1)
- Counselor, Mental Health · 101YM0800X
- License Number (2)
- C6123
- License State (2)
- OR
- Taxonomy (2)
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Mental Health providers near Bend, OR
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Frequently Asked Questions
What is the NPI number of Mrs. Stacy A Campbell, LPC, RPT?
The NPI number of Mrs. Stacy A Campbell, LPC, RPT is 1013127141. It was assigned on May 24, 2007 and is currently active in the NPPES registry.
What is the specialty of Mrs. Stacy A Campbell, LPC, RPT?
Mrs. Stacy A Campbell, LPC, RPT is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in ID under license number LCPC-5865.
Where does Mrs. Stacy A Campbell, LPC, RPT practice?
The practice location is 25 NW Park Pl, Bend, OR 97703-2954. The office can be reached at 208-577-1595 (phone) or 541-640-5538 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013127141 directly on the NPPES registry website.