JUANITA M CAMPBELL (NPI# 1003399601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003399601 |
| Entity Type | Individual |
| Full Name | JUANITA M CAMPBELL |
| Credential | LBSC |
| Practice Address |
2911 S 67th St Philadelphia PA 19142-2604 |
| Mailing Address |
2625 S 80th St Philadelphia PA 19153-1734 |
| Practice Telephone | 2153509998 |
| Mailing Telephone | 2153509998 |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2018-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | BH001975 | PA | Agencies |
| N | 106S00000X | Behavior Technician | BH001975 | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871946723 | Juanita Campbell | Counselor | 100 Oak Lake Dr, Perry, GA 31069-9512 | 2016-07-15 |
| Street Address |
2911 S 67TH ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19142-2604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449782 | Summit Health and Wellness LLC | Clinic/Center | 6200 Woodland Ave, 62nd Woodland Ave. Woodland Village Shopping Center, Philadelphia, PA 19142 | 2020-08-25 |
| 1275187742 | Dolls Homecare Agency, LLC. | Home Health | 6440 Garman Street, Philadelphia, PA 19142 | 2019-08-01 |
| 1467921015 | Francis Chiejine | Registered Nurse | 6200-b Woodland Ave, 2nd Floor, Philadelphia, PA 19142 | 2018-11-13 |
| 1689142887 | Rachel B Reed | Social Worker | 6120-b Woodland Ave., 2nd Floor, Philadelphia, PA 19142 | 2018-11-06 |
| 1881193860 | Pa Pain and Rehab | Chiropractor | 6325 Woodland Avenue, Philadelphia, PA 19142 | 2018-02-06 |
| 1710402748 | Daniel Ermilus | Home Health Aide | 6533 Linmore Ave, Philadelphia, PA 19142 | 2017-08-10 |
| 1669710844 | Yen-pei Huang | Counselor | 7042 Elmwood Ave., Philadelphia, PA 19142 | 2013-01-23 |
| 1104110311 | Annette Deigh | Social Worker | 6120b Woodland Avenue, Philadelphia, PA 19142 | 2011-06-06 |
| 1992096051 | Rath Sun | Pharmacy Technician | 2843 Bittern Place, Philadelphia, PA 19142 | 2011-04-25 |
| 1245538016 | Thomas Mccluskey | Social Worker | 7042 Elmwood Avenue, Philadelphia, PA 19142 | 2011-03-03 |
| Find all providers in zip 19142 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557174 | Kensington Hospital Non Hospital Short Term/long Term Rehab | Community/Behavioral Health | 136 W. Diamond St, Philadelphia, PA 19122-1721 | 2020-10-30 |
| 1922625789 | Merakey Philadelphia | Community/Behavioral Health | 1414 Shelmire Ave, Philadelphia, PA 19111-3314 | 2020-06-28 |
| 1801417456 | Detention Management Solutions | Community/Behavioral Health | 967 Clyde Ln, Philadelphia, PA 19128-1141 | 2020-05-05 |
| 1316579923 | Community Council for Mental Health & Mental Retardation Inc. | Community/Behavioral Health | 1211 Chestnut St Fl 8, Philadelphia, PA 19107-4103 | 2020-02-11 |
| 1083257133 | Homes of Humanity, LLC | Community/Behavioral Health | 47 N 51st St, Philadelphia, PA 19139-2726 | 2019-10-22 |
| 1376196147 | Hopeworks Wellness, LLC | Community/Behavioral Health | 2449 Golf Rd Ste 2, Philadelphia, PA 19131-1475 | 2019-07-22 |
| 1144873126 | Wmc | Community/Behavioral Health | 4243 Frankford Ave, Philadelphia, PA 19124-4520 | 2019-07-19 |
| 1336792316 | Wedge Medical Center | Community/Behavioral Health | 3600 Germantown Ave, Philadelphia, PA 19140-4226 | 2019-07-19 |
| 1619533098 | Sankofa Healing Studio | Community/Behavioral Health | 1415 N Broad St Ste 221c, Philadelphia, PA 19122-3325 | 2019-05-11 |
| 1902369234 | Resouces for Human Development, Inc. | Community/Behavioral Health | 227 E Garrett St, Philadelphia, PA 19119-2107 | 2019-04-12 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19142 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.