Iden Campbell Mccollum, CPS
Peer Specialist in Washington, District of Columbia
1174404974- Practice location
- 700 Pennsylvania Ave SE Fl 2, Washington, DC 20003-2493
- Phone
- 888-963-1828
- Fax
- —
- Last updated
- September 9, 2025
Iden Campbell Mccollum is a Peer Specialist based in Washington, DC. Iden Campbell Mccollum practices in Washington, DC and has the professional credentials of CPS. The NPI Number for Iden Campbell Mccollum is 1174404974 and holds a License No. 043 (DC). The current practice location address for Iden Campbell Mccollum is 700 Pennsylvania Ave SE Fl 2, Washington, DC 20003-2493 and can be reached out via phone at 888-963-1828.
Provider Profile Details
- NPI Number
- 1174404974
- Provider Name
- Iden Campbell Mccollum
- Credential
- CPS
- Provider Entity Type
- Individual
- Address
- 700 Pennsylvania Ave SE Fl 2, Washington, DC 20003-2493
- Phone Number
- 888-963-1828
- Primary Taxonomy
- Peer Specialist · 175T00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 9, 2025
- Last Update Date
- September 9, 2025
- Certification Date
- September 9, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 700 Pennsylvania Ave SE Fl 2
Washington, DC 20003-2493 - City
- Washington
- State
- District of Columbia
- Zip
- 20003-2493
- Phone Number
- 888-963-1828
Provider Business Mailing Address Details
- Address
- 55 Court St Ste 220B
Boston, MA 02108-2104 - City
- Boston
- State
- MA
- Zip
- 02108-2104
- Phone Number
- 888-963-1828
License Information
- License Number
- 043
- License State
- DC
- Taxonomy
- Peer Specialist · 175T00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Iden Campbell Mccollum, CPS?
The NPI number of Iden Campbell Mccollum, CPS is 1174404974. It was assigned on September 9, 2025 and is currently active in the NPPES registry.
What is the specialty of Iden Campbell Mccollum, CPS?
Iden Campbell Mccollum, CPS is registered under the primary taxonomy Peer Specialist (code 175T00000X), licensed in DC under license number 043.
Where does Iden Campbell Mccollum, CPS practice?
The practice location is 700 Pennsylvania Ave SE Fl 2, Washington, DC 20003-2493. The office can be reached at 888-963-1828 (phone).
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 1174404974 directly on the NPPES registry website.