JASON SHANE CAMPBELL IV (NPI# 1073646253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073646253 |
| Entity Type | Individual |
| Full Name | JASON SHANE CAMPBELL IV |
| Credential | MHPP |
| Practice Address |
707 E Greenwood Hope AR 71801 |
| Mailing Address |
2400 S. 48th Springdale AR 72762 |
| Practice Telephone | 8707779800 |
| Practice Fax Number | 8707779811 |
| Mailing Telephone | 4797502020 |
| Mailing Fax Number | 4797508967 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2010-11-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
AR | Behavioral Health & Social Service Providers | |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073963872 | Jason Robert Campbell | Counselor | 1750 Nebraska Ave # B, Grants Pass, OR 97527-5700 | 2016-06-13 |
| 1073913323 | Jason Campbell | Home Health | 17422 E Caley Ln, Aurora, CO 80016-3188 | 2014-08-23 |
| 1467678987 | Jason Stuart Campbell | Family Medicine | 2005 State St Ste A, Suite A, Washington, IN 47501-8559 | 2007-04-17 |
| 1366577017 | Jason Travis Campbell | Chiropractor | 3000 W 10th St, Greeley, CO 80634-5335 | 2007-02-22 |
| 1568501237 | Jason Michael Campbell | Dentist | 2255 N University Pkwy, Suite 39, Provo, UT 84604-1588 | 2007-02-06 |
| 1093865453 | Jason Patrick Campbell | Durable Medical Equipment & Medical Supplies | 2625 Circle Rd, Lynchburg, VA 24501-2409 | 2007-01-10 |
| 1407874662 | Jason Clay Campbell | Dentist | 139 W. Whipple St., Prescott, AZ 86301-1705 | 2006-07-17 |
| 1477543163 | Jason Campbell | Psychologist | Brooke Army Medical Center, Mche-qd/credenitals, 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-6200 | 2005-10-25 |
| 1174045298 | Jason Campbell | Student in an Organized Health Care Education/Training Program | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2017-07-11 |
| 1023358934 | Jason Paul Campbell | Physical Therapist | 3512 Highway 365, Nederland, TX 77627-7834 | 2013-03-01 |
| Street Address |
707 E GREENWOOD |
| City | HOPE |
| State | AR |
| Zip Code | 71801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942220843 | Joann Gaye Land | Registered Nurse | 707 E Greenwood, Hope, AR 71801 | 2006-07-20 |
| 1356464135 | Laura Lee Cutler | Registered Nurse | 707 E Greenwood, Hope, AR 71801 | 2007-04-09 |
| 1659494433 | Michelle Yvonne Rose | Case Manager/Care Coordinator | 707 E Greenwood, Hope, AR 71801 | 2007-04-09 |
| 1265566467 | Christopher Alan Finigan | Case Manager/Care Coordinator | 707 E Greenwood, Hope, AR 71801 | 2007-03-16 |
| 1427182625 | Betty L Allen | Case Manager/Care Coordinator | 707 E Greenwood, Hope, AR 71801 | 2007-03-16 |
| 1659405090 | Ramon L Smith | Case Manager/Care Coordinator | 707 E Greenwood, Hope, AR 71801 | 2007-03-16 |
| 1881728723 | Constance Elizabeth Ellis | Registered Nurse | 707 E Greenwood, Hope, AR 71854 | 2007-03-15 |
| 1568596302 | Shameika M Davis | Case Manager/Care Coordinator | 707 E Greenwood, Hope, AR 71801 | 2007-03-15 |
| 1588798326 | Ruby J Phillips | Case Manager/Care Coordinator | 707 E Greenwood, Hope, AR 71801 | 2007-03-15 |
| 1548394075 | Sirconda Jowayne Moore | Case Manager/Care Coordinator | 707 E Greenwood, Hope, AR 71801 | 2007-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528524956 | Yasmin Morgan Lpc | Counselor | 1806 N. Spruce St, Hope, AR 71801 | 2019-02-11 |
| 1205318169 | Dewayne Bonner | Case Manager/Care Coordinator | 1401 S. Main St, Hope, AR 71801 | 2018-09-06 |
| 1194207118 | Cassie Gonzales | Case Manager/Care Coordinator | 1401 S. Main Street, Hope, AR 71801 | 2018-09-06 |
| 1912457136 | Stacy Davis | Occupational Therapist | 510 Hempstead 173w, Hope, AR 71801 | 2016-10-12 |
| 1114386976 | Elizabeth Kay Henley | Specialist | 5180 Hemstead 3, Hope, AR 71801 | 2016-02-22 |
| 1053783894 | Kourtney Smith | Pharmacist | 1004 Commerce Blvd, Hope, AR 71801 | 2015-10-20 |
| 1154705382 | Jason Otis Moore | Case Manager/Care Coordinator | 500 W. Ave E St., Hope, AR 71801 | 2015-07-17 |
| 1700284163 | Cox Family Practice | Preferred Provider Organization | 2015 Main Street, Hope, AR 71801 | 2014-12-16 |
| 1932512068 | Gregory Alan Davis | Counselor | 802 E 3rd St, Hope, AR 71801 | 2014-06-05 |
| 1821420688 | Callie Brooke Gilbey | Speech-Language Pathologist | 249 Hempstead 243, Hope, AR 71801 | 2013-08-05 |
| Find all providers in zip 71801 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528524956 | Yasmin Morgan Lpc | Counselor | 1806 N. Spruce St, Hope, AR 71801 | 2019-02-11 |
| 1932512068 | Gregory Alan Davis | Counselor | 802 E 3rd St, Hope, AR 71801 | 2014-06-05 |
| 1124139019 | Luretha Moore Loudermill | Counselor | 1420 S Main St, Hope, AR 71801-7243 | 2006-08-31 |
| 1952894545 | Kelli Sanford | Counselor | 1420 S Main St, Hope, AR 71801-7243 | 2018-06-08 |
| 1316495179 | Deborah Horton | Counselor | 1420 S Main St, Hope, AR 71801-7243 | 2016-09-21 |
| 1811327703 | Amy Perez | Counselor | 300 E 20th St, Hope, AR 71801-8217 | 2013-11-14 |
| 1669686382 | Tamika R Gulley | Counselor | 1420 S Main St, Hope, AR 71801 | 2007-05-10 |
| 1407977648 | Miranda Kay Buffington | Counselor | 300 E 20th St, Suite 106, Hope, AR 71801-8217 | 2007-04-03 |
| 1689793937 | Carol Janette Williamson | Counselor | 1420 S Main St, Hope, AR 71801-7243 | 2007-03-28 |
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| 1205448370 | Teen Therapy Services LLC | Counselor | 5004 S U St Ste 202, Fort Smith, AR 72903-3600 | 2020-08-20 |
| 1003425703 | Apollo Health, LLC | Counselor | 11715 Rainwood Rd Ste B6, Little Rock, AR 72212-3968 | 2020-07-28 |
| 1962029546 | Deanna Dale Dunn | Counselor | 767 W North St Ste 112, Fayetteville, AR 72701-1865 | 2020-06-30 |
| 1760009716 | Serenity and Soul Counseling LLC | Counselor | 1202 Ne Mcclain Rd Ste 2002, Bentonville, AR 72712-3875 | 2020-06-25 |
| 1639795511 | Mindy Lynne Durey | Counselor | 7 Medical Ln Ste H, Conway, AR 72034-4918 | 2020-06-17 |
| 1376168120 | Shea Wood | Counselor | 8 Shackleford Plz Ste 206, Little Rock, AR 72211-1853 | 2020-06-08 |
| 1740803683 | Ryan Russ LLC | Counselor | 1900 N Bryant St Ste 310, Little Rock, AR 72207-5022 | 2020-05-27 |
| 1043833197 | Re:create Joy, LLC | Counselor | 308 Glines Ct, Harrison, AR 72601-4416 | 2020-05-23 |
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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.