MR. KADEEM OMAR CAMPBELL (M.A.) – Mental Health Counselor, NPI 1467944876

MR. KADEEM OMAR CAMPBELL (M.A.) is a healthcare provider. based in Kissimmee, Florida. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials M.A.. The NPI Number for MR. KADEEM OMAR CAMPBELL (M.A.) is 1467944876

Main info

Male
3 Years Of Experience
Name
MR. KADEEM OMAR CAMPBELL (M.A.)
NPI
1467944876
Phone
(407) 530-5911
Address
3206 HILLSDALE LN
Enumeration Date
31 May 2018
Last Update Date
31 May 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4073829079
Graduation Year
2023 (3 years ago)
PAC ID
6709306608
Group Practice PAC ID
5991946105
Professional Enrollment ID
I20250221003277
Address ID
FL328095785OR1707XPKWY401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:8State licenses:0Digital endpointsOther names

3,018 MENTAL HEALTH COUNSELOR in FL

Provider Addresses for MR. KADEEM OMAR CAMPBELL (M.A.)

  • 3206 HILLSDALE LN

    KISSIMMEE, FL 347417562

    Phone: (407) 530-5911

    Type: Location

  • 1719, Cypress Court, Saint Cloud, Osceola County, Florida, 34769, United States

    SAINT CLOUD, FL 347691648

    Phone: (407) 575-1337

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250221003277IMental Health CounselorFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34741)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991946105View full group profile
NameSpecialtyState
Mental Health CounselorFL
Mental Health CounselorFL
Clinical Social WorkerFL
Clinical Social WorkerFL
Clinical Social WorkerFL
Clinical Social WorkerFL

Reviews

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Frequently asked questions

Can I use this page to confirm MR. KADEEM OMAR CAMPBELL (M.A.)'s NPI?
Yes. MR. KADEEM OMAR CAMPBELL (M.A.) is listed with NPI 1467944876 in the public NPI dataset.
Does the file indicate MR. KADEEM OMAR CAMPBELL (M.A.) is practicing under active NPI?
Directory data currently reports MR. KADEEM OMAR CAMPBELL (M.A.) as active.
What is MR. KADEEM OMAR CAMPBELL (M.A.)'s primary classification?
Mental Health Counselor is the headline specialty for MR. KADEEM OMAR CAMPBELL (M.A.) here. Clinical services aligned with this taxonomy classification.
What area does MR. KADEEM OMAR CAMPBELL (M.A.) serve?
MR. KADEEM OMAR CAMPBELL (M.A.)'s listing highlights Kissimmee, Florida; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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