MEDICARE: MS. CASSIE MICHELLE CAMPBELL LPCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	7212	CA
2	101YM0800X	Mental Health Counselor	73146	TX

General Provider Information

NPI Number	:	1023677978
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CASSIE MICHELLE CAMPBELL LPCC

Provider Business Mailing Address
First Line	:	236 PROVIDENCE FARM DR
Second Line	:
City	:	BOILING SPRINGS
State	:	SC
Zip	:	29316-7469
Country	:	US
Telephone Number	:	951-531-3367
Fax Number	:

Provider Business Practice Location Address
First Line	:	415 LAUREL ST # 3113
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92101-1605
Country	:	US
Telephone Number	:	951-531-3367
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2019
Last Update Date	:	03/05/2026

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1144739350 — JESSICA LILIANA CERDA LMFT
Practice Location Address:

415 LAUREL ST # 3067
SAN DIEGO, CA
92101-1605

Practice Phone: 951-762-2108
Practice Fax:

1750753448 — BIJOU GONZALEZ KOHNS PH.D.
Practice Location Address:

415 LAUREL ST # 3021
SAN DIEGO, CA
92101-1605

Practice Phone: 999-999-9999
Practice Fax:

1871079749 — JULIE MARKOWITZ
Practice Location Address:

415 LAUREL ST # 201
SAN DIEGO, CA
92101-1605

Practice Phone: 302-893-4825
Practice Fax:

1598238875 — SHELBY OLIVIA RAMSEY
Practice Location Address:

415 LAUREL ST # 3051
SAN DIEGO, CA
92101-1605

Practice Phone: 734-431-0005
Practice Fax:

1871058370 — MAKENZIE COLLINS LMFT
Practice Location Address:

415 LAUREL ST # 3076
SAN DIEGO, CA
92101-1605

Practice Phone: 909-610-9655
Practice Fax:

Directions to “ MS. CASSIE MICHELLE CAMPBELL LPCC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.