KEITH MARK CAMPBELL (NPI# 1073792719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073792719 |
| Entity Type | Individual |
| Full Name | KEITH MARK CAMPBELL |
| Credential | LCAS |
| Practice Address |
145 Remount Rd Charlotte NC 28203-5013 |
| Practice Telephone | 7043329001 |
| Practice Fax Number | 7043320124 |
| Mailing Telephone | 7043329001 |
| Mailing Fax Number | 7043320124 |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2007-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679717599 | Keith Campbell | Internal Medicine | 62626 Sparrow Hawk Cir, Bend, OR 97701-6788 | 2009-04-22 |
| 1598899445 | Keith Edward Campbell | Physician Assistant | 11521 Ranch Rd 620 N, Austin, TX 78726-1139 | 2007-03-15 |
| 1245363050 | Keith E Campbell | Dentist | 212 Saybrook Rd, Higganum, CT 06441-4100 | 2007-03-13 |
| 1013074715 | Keith Allan Campbell | Family Medicine | 11221 John Wycliffe Blvd, Orlando, FL 32832-7013 | 2007-01-02 |
| 1518074939 | Keith Sean Campbell | Surgery | 1105 Scenic Dr, Knoxville, TN 37919-7643 | 2006-08-23 |
| 1659331742 | Keith E. Campbell | Surgery | 431 Marilyn Ln, Alcoa, TN 37701-2118 | 2006-03-24 |
| 1538773130 | Keith Campbell | Behavior Technician | 2121 7th St, Parkersburg, WV 26101-3803 | 2020-09-02 |
| 1104964436 | Keith A Campbell | Psychologist | 1942 Nw Kearney St Ste 24, Portland, OR 97209-1465 | 2007-02-01 |
| Street Address |
145 REMOUNT RD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28203-5013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376731158 | Ronnie Joe Bradley | Counselor | 145 Remount Rd, Charlotte, NC 28203-5013 | 2007-10-05 |
| 1518272079 | Carol Goodall | Counselor | 145 Remount Rd, Charlotte, NC 28203-5013 | 2010-08-09 |
| 1942457668 | Amelia Bridger | Counselor | 145 Remount Rd, Charlotte, NC 28203-5013 | 2008-08-25 |
| 1225209299 | Christine Dave | Counselor | 145 Remount Rd, Charlotte, NC 28203-5013 | 2008-03-18 |
| 1437338308 | Kimberly Bailey | Counselor | 145 Remount Rd, Charlotte, NC 28203-5013 | 2007-10-29 |
| 1073792941 | Kenyetta Joy Griffin | Student in an Organized Health Care Education/Training Program | 145 Remount Rd, Charlotte, NC 28203-5013 | 2007-10-29 |
| 1356530745 | Richetrina Fullard | Counselor | 145 Remount Rd, Charlotte, NC 28203-5013 | 2007-10-22 |
| 1184812539 | Danny R Graves | Counselor | 145 Remount Rd, Charlotte, NC 28203-5013 | 2007-10-11 |
| 1992993349 | Jean H Moore | Counselor | 145 Remount Rd, Charlotte, NC 28203-5013 | 2007-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982225983 | William Bedard Michel | Emergency Medicine | Carolina Medical Center, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-04-30 |
| 1922636927 | Paulina M Kriska | Dentist | Cmc Dental Clinic, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-03-27 |
| 1386271930 | Irina Maria Geiculescu | Pediatrics | 1000 Blythe Blvd Fl 4 Meb, Charlotte, NC 28203 | 2020-03-24 |
| 1205499316 | James C Winnek | Counselor | 1713 East Blvd., Charlotte, NC 28203 | 2019-04-16 |
| 1487114492 | Laurie Fford Counseling and Consulting Pllc | Counselor | 125 Remount Rd, Suite C-#391, Charlotte, NC 28203 | 2019-03-25 |
| 1184188815 | Sunday Money | Home Health | 2151 Hawkins St., Suite 201, Charlotte, NC 28203 | 2019-01-28 |
| 1164902706 | Lindsay Koonce Helton | Dietitian, Registered | 1218 East Blvd Ste G, Charlotte, NC 28203 | 2018-08-14 |
| 1376057406 | Veritas Collaborative Charlotte, LLC | Clinic/Center | 1900 Scott Avenue, Suite 101, Charlotte, NC 28203 | 2017-11-28 |
| 1043733306 | Kimberly Stripp | Pharmacist | 1300-b East Blvd, Charlotte, NC 28203 | 2017-07-19 |
| 1427570639 | Caroline Kaleel Fogleman | Optometrist | 1710 Kenilworth Ave Ste 210, Charlotte, NC 28203 | 2017-07-10 |
| Find all providers in zip 28203 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619574829 | Steve Hanna Interventions | Counselor | 8101 Providence Court Ln Apt 101, Charlotte, NC 28270-2385 | 2020-10-01 |
| 1164036976 | Diamond Corbin | Counselor | 3553 N Sharon Amity Rd Ste 200, Charlotte, NC 28205-8992 | 2020-08-31 |
| 1366053035 | Triumph Therapeutic Services Pllc | Counselor | 620 Parkaire Ln Apt 1024, Charlotte, NC 28217-2492 | 2020-08-14 |
| 1407472582 | Sarah Ann Grant | Counselor | 1617 Fountain Vw, Charlotte, NC 28203-5829 | 2020-06-24 |
| 1164046728 | Kevin Thomas Egroff | Counselor | 2134 Augusta St, Charlotte, NC 28216-4603 | 2020-05-29 |
| 1861039729 | No Bounds Care Inc of Nc | Counselor | 615 E 6th St Ste 102, Charlotte, NC 28202-2918 | 2019-12-10 |
| 1174168850 | Stress Management, LLC | Counselor | 8915 Legacy Park Dr Apt C, Charlotte, NC 28269-9622 | 2019-11-17 |
| 1154964062 | Setfreesoldiers, Inc | Counselor | 4900 Providence Rd, Charlotte, NC 28226-5848 | 2019-10-23 |
| 1083256762 | Speak Life Counseling Services, Pllc | Counselor | 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 | 2019-10-14 |
| 1518508340 | Modern Era Counseling, Pllc | Counselor | 5200 Park Rd Ste 218-d, Charlotte, NC 28209-3650 | 2019-10-02 |
| Find all providers in CHARLOTTE | ||||
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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.