JENNIFER PATRICIA CAMPBELL (MA, LPC, CCDP-D) – Professional Counselor, NPI 1306178918

JENNIFER PATRICIA CAMPBELL (MA, LPC, CCDP-D) is a healthcare provider. based in Creve coeur, Missouri. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MA, LPC, CCDP-D. They hold a License No. 2008010475 (MO). The NPI Number for JENNIFER PATRICIA CAMPBELL (MA, LPC, CCDP-D) is 1306178918

Main info

Female
Sole Proprietor
19 Years Of Experience
Name
JENNIFER PATRICIA CAMPBELL (MA, LPC, CCDP-D)
NPI
1306178918
Phone
(314) 566-2290
Address
939 GARDENVIEW OFFICE PKWY
Enumeration Date
6 February 2010
Last Update Date
6 February 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2007 (19 years ago)
PAC ID
1850805573
Professional Enrollment ID
I20250707001165
Address ID
FL331301807MI66XXXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:16State licenses:2Digital endpointsOther names

1,256 MENTAL HEALTH COUNSELOR in MO

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Provider Addresses for JENNIFER PATRICIA CAMPBELL (MA, LPC, CCDP-D)

  • 939, Gardenview Office Parkway, 39 North, Creve Coeur, Saint Louis County, Missouri, 63141, United States

    CREVE COEUR, MO 631415917

    Phone: (314) 566-2290

    Type: Location

  • 9433, Theodosia Avenue, Pagewood, Overland, Saint Louis County, Missouri, 63114, United States

    OVERLAND, MO 631143715

    Phone: (314) 566-2290

    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: 2025-07-07

PECOS data refreshed: 2026-06-15

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
I20250707001165IMental Health CounselorMOTBD

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 63141)

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Reviews

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Frequently asked questions

How do payers reference JENNIFER PATRICIA CAMPBELL (MA, LPC, CCDP-D)?
For JENNIFER PATRICIA CAMPBELL (MA, LPC, CCDP-D), use NPI 1306178918 as the unique 10-digit identifier.
Is there an active status for JENNIFER PATRICIA CAMPBELL (MA, LPC, CCDP-D)?
For scheduling context, JENNIFER PATRICIA CAMPBELL (MA, LPC, CCDP-D) is shown as active in the registry.
What area of care is associated with JENNIFER PATRICIA CAMPBELL (MA, LPC, CCDP-D)?
JENNIFER PATRICIA CAMPBELL (MA, LPC, CCDP-D)'s record emphasizes Professional Counselor. Clinical services aligned with this taxonomy classification.
What locale is associated with JENNIFER PATRICIA CAMPBELL (MA, LPC, CCDP-D)?
Directory geography for JENNIFER PATRICIA CAMPBELL (MA, LPC, CCDP-D) centers on Creve Coeur, Missouri.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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