Erich C Campbell
Counselor, Mental Health in Bentonville, AR. Individual provider (NPI-1).
NPI number1013789577
StatusActive
Last updated in NPPESOct 28, 2023
Details
- NPI
- 1013789577
- Entity type
- Individual (NPI-1)
- Name
- Erich C Campbell
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 26, 2023
- Certification date
- Oct 28, 2023
- Last updated
- Oct 28, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | A2310026 | AR | Yes |
Practice location
910 Se 21st StBentonville, AR 72712-9776
Phone 479-367-1110
Mailing address
401 Rama StCenterton, AR 72719-4033
Phone 417-840-1734
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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