JASON ROBERT CAMPBELL (NPI# 1073963872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073963872 |
Entity Type | Individual |
Full Name | JASON ROBERT CAMPBELL |
Credential | B.S |
Practice Address |
1750 Nebraska Ave # B Grants Pass OR 97527-5700 |
Mailing Address |
715 Sw Ramsey Ave Grants Pass OR 97527-5500 |
Practice Telephone | 5414763302 |
Practice Fax Number | 5414762895 |
Mailing Telephone | 5419564943 |
Mailing Fax Number | 5419565463 |
Enumeration Date | 2016-06-13 |
Last Update Date | 2016-06-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1760767743 | Jason Campbell | Pharmacist | 116 N Main St, White Hall, IL 62092-1054 | 2011-10-20 |
Street Address |
1750 NEBRASKA AVE # B |
City | GRANTS PASS |
State | OR |
Zip Code | 97527-5700 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528618600 | Sandra J Campos | Technician | 365 Sleepy Hollow Loop, Grants Pass, OR 97527 | 2019-09-19 |
1720501026 | Kelly Bates | Massage Therapist | 501 Cheney Creek Rd, Grants Pass, OR 97527 | 2017-07-19 |
1740650134 | Sara Brelsford | Nurse Practitioner | 1075 Sw Grandview Avenue, Suite 200, Grants Pass, OR 97527 | 2015-09-29 |
1962816348 | Kimberly Hathaway | Counselor | 320 Ramsey Place, Grants Pass, OR 97527 | 2014-06-13 |
1801216999 | Christina Ann Marie Schultz | Massage Therapist | 242 Curtis Drive, Grants Pass, OR 97527 | 2014-04-16 |
1013343359 | Shaunte Angelique Duron | Counselor | 711 Sw Ramsey Avenue, Grants Pass, OR 97527 | 2013-09-18 |
1063848547 | Megan Faye Armstrong | Behavioral Analyst | 715 Ramsey Aveenue, Grants Pass, OR 97527 | 2013-09-17 |
1124454608 | Mark Albert Cook | Behavioral Analyst | 1153 Sw Cal Allen Lane, Grants Pass, OR 97527 | 2013-09-17 |
1952741969 | Mitchell K Sheeler | Denturist | 1850 Williams Hwy, Grants Pass, OR 97527 | 2013-07-05 |
1790038339 | White City Vamc | Clinic/Center | 1877 Williams Highway, Grants Pass, OR 97527 | 2012-10-19 |
Find all providers in zip 97527 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225332406 | Daniel Ellis Bedford | Counselor | 1750 Nebraska Ave Bldg B, Grants Pass, OR 97527-5700 | 2011-01-03 |
1619203882 | Tanya Dydzyk | Counselor | 711 Sw Ramsey Ave, Grants Pass, OR 97527-5500 | 2009-10-23 |
1639792146 | Alexeev Jones | Counselor | 1920 Sw Kurtz Ln, Grants Pass, OR 97526-2803 | 2020-05-19 |
1548883051 | Jessica August | Counselor | 711 Sw Ramsey Ave, Grants Pass, OR 97527-5500 | 2020-05-19 |
1407477110 | Ian Cole Hernandez | Counselor | 1750 Nebraska Ave Bldg B, Grants Pass, OR 97527-5700 | 2020-05-04 |
1619517992 | Erin Launiu | Counselor | 1750 Nebraska Ave, Grants Pass, OR 97527-5700 | 2020-01-14 |
1669010229 | Maricela Olivares | Counselor | 1215 Sw G St, Grants Pass, OR 97526-2544 | 2019-12-13 |
1245891282 | Jordan Cooley | Counselor | 1750 Nebraska Ave Bldg B, Grants Pass, OR 97527-5700 | 2019-06-20 |
1326606278 | Elise Napier | Counselor | 1920 Sw Kurtz Ln, Grants Pass, OR 97526-2803 | 2019-06-04 |
1427614205 | April Rodman | Counselor | 1750 Nebraska Ave Bldg B, Grants Pass, OR 97527-5700 | 2019-05-16 |
Find all providers in GRANTS PASS |
City | GRANTS PASS |
Zip Code | 97527 |
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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.