JEREMY TODD CAMPBELL


Address: 826 Deleware Ave, Fountain Hill, PA 18015
Phone: 6104193101

JEREMY TODD CAMPBELL (NPI# 1053742544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053742544
Entity Type Individual
Full Name JEREMY TODD CAMPBELL
Practice Address 826 Deleware Ave
Fountain Hill
PA 18015
Mailing Address 219 Main St
Metuchen
NJ 08840-2727
Practice Telephone 6104193101
Practice Fax Number 6104193309
Mailing Telephone 7328872540
Mailing Fax Number 6104193309
Enumeration Date 2013-12-09
Last Update Date 2013-12-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers
N 101YP1600X Counselor
Specialization: Pastoral
Behavioral Health & Social Service Providers

Other Providers JEREMY CAMPBELL

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1417296575 Jeremy Levi Campbell Physical Therapist 3446 Masonic Dr, Alexandria, LA 71301-3615 2013-02-11
1043587223 Jeremy Campbell Pharmacist 6365 I 55 N, Jackson, MS 39213-9742 2011-11-16
1417255787 Jeremy Fane Campbell Acupuncturist 621 Water St, Santa Cruz, CA 95060-4146 2011-03-10
1942506142 Jeremy Campbell Day Training/Habilitation Specialist 5466 Spanish Moss Dr, Sparks, NV 89436-2660 2011-02-04
1194925669 Jeremy H Campbell Physical Therapist 300 Tower Rd Ne, Suite 100, Marietta, GA 30060-9404 2007-07-23
1841346368 Jeremy S. Campbell Physician Assistant 16120 W Dodge Rd, Omaha, NE 68118-2049 2007-01-26
1477533826 Jeremy Campbell Family Medicine 1930 Tamarack Rd, Newark, OH 43055-2303 2006-01-20

Office Location

Street Address 826 DELEWARE AVE
City FOUNTAIN HILL
State PA
Zip Code 18015

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285253120 Lorrette Ayers Social Worker St. Luke's Hospice, 2455 Black River Road, Bethlehem, PA 18015 2020-04-10
1982246278 Hannah Do Pharmacist 817 E 4th St Apt 1, Bethlehem, PA 18015 2019-10-08
1568023737 Nathan William White Orthopaedic Surgery 801 Ostrum Street Priscilla Payne Hurd Bldg, Bethlehem, PA 18015 2019-06-27
1437710076 Samuel Schadt Student in an Organized Health Care Education/Training Program St. Luke's University Hospital, 801 Ostrum Street, Bethlehem, PA 18015 2019-06-25
1437716537 Rachael Kramer Counselor 825 Delaware Avenue, Bethlehem, PA 18015 2019-05-23
1891358172 Marko Yacoub Dentist 511 E 3rd Street, Fowler Bldg Suite 301, Bethlehem, PA 18015 2019-04-22
1649749748 Chelsea Marie Breimann Counselor 826 Deleware Avenue, Fountain Hill, PA 18015 2018-11-19
1780179986 Megan Minor Emergency Medicine 801 Ostrum St Ste 1, Bethlehem, PA 18015 2018-06-29
1831606128 Lehigh University Autism Services Clinic/Center 111 Research Dr., Bethlehem, PA 18015 2018-01-08
1669901476 Swati Agnihotri Dentist 511 E. 3rd Street Fowler Bldg, Suite 301, Bethlehem, PA 18015 2017-06-06
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649749748 Chelsea Marie Breimann Counselor 826 Deleware Avenue, Fountain Hill, PA 18015 2018-11-19
1871107094 Josephine Cabrera Counselor 826 Delaware Ave, Fountain Hill, PA 18015-1174 2020-09-04
1306478920 Damaris Morales Counselor 826 Delaware Ave, Fountain Hill, PA 18015-1174 2020-02-11
1871131896 Kaitlyn Marie Stahl Counselor 826 Delaware Ave, Fountain Hill, PA 18015-1174 2019-12-20
1992340467 Lina M Vega Pulgarin Counselor 826 Delaware Ave, Fountain Hill, PA 18015-1174 2019-11-08
1760026280 Alana Mager Counselor 826 Delaware Ave, Fountain Hill, PA 18015-1174 2019-10-29
1700429875 Rhiannon Emily Anderson Counselor 826 Delaware Ave, Fountain Hill, PA 18015-1174 2019-10-22
1295378396 Amy Henriksen Counselor 826 Delaware Ave, Fountain Hill, PA 18015-1174 2019-10-21
1760033062 Michael Kastelnik Counselor 826 Delaware Ave, Fountain Hill, PA 18015-1174 2019-09-27
1154971299 Kirsten Waldvogel-payton Counselor 825 Delaware Ave, Fountain Hill, PA 18015-1168 2019-09-19
Find all providers in FOUNTAIN HILL

Competitor

Search similar providers

City FOUNTAIN HILL
Zip Code 18015

Improve Information

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Dataset Information

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.

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