JEANNIE MOOD CAMPBELL (NPI# 1336285238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336285238 |
| Entity Type | Individual |
| Full Name | JEANNIE MOOD CAMPBELL |
| Credential | LMFT |
| Practice Address |
60575 Billadeau Rd Bend OR 97702-9338 |
| Practice Telephone | 5417283376 |
| Practice Fax Number | 5415507956 |
| Mailing Telephone | 5417283376 |
| Mailing Fax Number | 5415507956 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | T1483 | OR | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 45366 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2259 Myrtle Ave, Eureka, CA 955013325 | 7074448293 | 7074448298 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619410271 | Jeannie Marie Campbell | Specialist/Technologist | 8101 Boat Club Rd, Suite 160, Fort Worth, TX 76179-3630 | 2016-11-29 |
| Street Address |
60575 BILLADEAU RD |
| City | BEND |
| State | OR |
| Zip Code | 97702-9338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417048315 | Julie Jo Cline | Occupational Therapist | 60575 Billadeau Rd, Bend, OR 97702-9338 | 2006-09-27 |
| 1306491071 | Zoe Remillard | Occupational Therapist | 60575 Billadeau Rd, Bend, OR 97702-9338 | 2019-08-08 |
| 1760950513 | Mariah Nicole Schwab | Occupational Therapist | 60575 Billadeau Rd, Bend, OR 97702-9338 | 2018-11-09 |
| 1437665478 | Andeen Counseling, LLC | Clinic/Center | 60575 Billadeau Rd, Bend, OR 97702-9338 | 2017-12-27 |
| 1073026159 | Adrienne Andeen | Social Worker | 60575 Billadeau Rd, Bend, OR 97702-9338 | 2017-11-10 |
| 1952853442 | Lisa Marie Bradley | Counselor | 60575 Billadeau Rd, Bend, OR 97702-9338 | 2016-10-31 |
| 1720343395 | Margaret Anne Finestone | Occupational Therapist | 60575 Billadeau Rd, Bend, OR 97702-9338 | 2012-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676259 | Amy Michelle Anderson | Counselor | 233 Sw Wilson Ave, Ste 201, Bend, OR 97702 | 2020-10-15 |
| 1386259463 | Jacob Rehder | Counselor | 19717 Mt Batchelor Dr, #226, Bend, OR 97702 | 2020-09-15 |
| 1497385215 | Capacity Performance Therapy | Physical Medicine & Rehabilitation | 61125 Lodgepole Dr., Bend, OR 97702 | 2020-01-21 |
| 1962041707 | Shift Bend Functional Medicine | Family Medicine | 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 | 2019-12-26 |
| 1609435049 | Praxis Medical Group Inc | Orthopaedic Surgery | 1140 Sw Simpson Avenue, Suite 100, Bend, OR 97702 | 2019-06-10 |
| 1013485754 | Elana Leah Pesah | Social Worker | 138 Maaglei Harim Levin, Jerusalem, ISRAEL 97702 | 2018-11-12 |
| 1104303239 | Kyleigh Mcvey | Massage Therapist | 999 Sw Disk Dr, Bend, OR 97702 | 2018-07-21 |
| 1477042869 | Siloe Castaneda Huerta | Counselor | 1340 Nw Wall, Bend, Or, Bend, OR 97702 | 2018-05-02 |
| 1164910808 | Rebecca M Joyce | Social Worker | 1011 Sw Emkay Dr. Suite 101, Bend, OR 97702 | 2018-04-27 |
| 1093217978 | Jennifer Bury | Acupuncturist | 296 Sw Columbia St Ste D1, Bend, OR 97702 | 2018-03-06 |
| Find all providers in zip 97702 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700402070 | Devan Larsen | Marriage & Family Therapist | 20526 Mutt Ct, Bend, OR 97701-7935 | 2020-06-22 |
| 1144850678 | Kathleen Greiner | Marriage & Family Therapist | 377 Sw Century Dr Ste 208, Bend, OR 97702-1419 | 2020-01-23 |
| 1497170880 | Lara Schwartz | Marriage & Family Therapist | 731 Nw Franklin Ave Ste 100a, Bend, OR 97701-2752 | 2014-02-21 |
| 1508118100 | Gerald E Magaro | Marriage & Family Therapist | 548 Sw 13th St Ste 202, Bend, OR 97702-3184 | 2012-10-05 |
| 1861760001 | Alice Baldwin O'keefe | Marriage & Family Therapist | 1354 Nw Galveston Ave, Bend, OR 97703-2436 | 2011-12-02 |
| 1902102098 | Roberta Stopler | Marriage & Family Therapist | 548 Sw 13th Street, Suite 201, Bend, OR 97702 | 2011-02-07 |
| 1780908954 | Francine Filzen | Marriage & Family Therapist | 63034 O B Riley Rd, Bend, OR 97701-8102 | 2010-03-17 |
| 1386872000 | Andrew Curtis Ornberg | Marriage & Family Therapist | 21035 Clairaway Ave, Bend, OR 97702-2435 | 2009-07-01 |
| 1295981272 | Romina Frida King | Marriage & Family Therapist | 60330 Rimfire Rd, Bend, OR 97702-9236 | 2008-08-11 |
| 1699963934 | Jessica Sinacori | Marriage & Family Therapist | 345 Sw Cyber Dr Ste 104, Bend, OR 97702-1045 | 2007-10-11 |
| Find all providers in BEND | ||||
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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.