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Taylor Campbell

Counselor β€’ Olympia, WA

Active NPI 1073154589 Individual Practitioner Female Practitioner
Practice location in NPPES

711 State Ave Ne
Olympia, WA 985063984

Call 3609430780 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

711 State Ave Ne

Olympia, WA 985063984

Telephone 3609430780
Organization at the Same NPPES Address or Phone
Community Youth Services Facility NPI 1386997138

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Olympia and Washington

414 active clinicians are listed under Counselor with a practice address in Olympia, WA (11,352 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Olympia

0% of these 414 clinicians have the CMS telehealth indicator.

0.5% of these 414 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-04-03
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES WA CG61429788

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Princewill Fonta , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1710612239

Psychiatric-Mental Health Nurse Practitioner

Celia Forno , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1437293909

Psychiatric-Mental Health Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location April 03, 2023

Registered at 711 STATE AVE NE, OLYMPIA, WA 985063984 (Tel: 3609430780)

πŸ“
Updated Business Mailing Address April 03, 2023

Registered at 711 STATE AVE NE, OLYMPIA, WA 985063984 (Tel: 3609430780)

βœ…
NPI Profile Active October 05, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 05, 2019

Registered at 23502 LYONS AVE STE 304A, NEWHALL, CA 913212538 (Tel: 6617020166)

πŸ“
Business Mailing Address (Initial Record) October 05, 2019

Registered at 23502 LYONS AVE STE 304A, NEWHALL, CA 913212538

πŸ‘€
Provider Name / Credentials (Initial Record) October 05, 2019

Recorded as TAYLOR CAMPBELL

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2019

Behavior Technician

🟒
Initial NPI Registration & Enumeration October 05, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1073154589
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 05, 2019
Last Update: April 03, 2023
Sole Proprietor: Yes

Mailing Address

711 State Ave Ne

Olympia, WA 985063984

Phone: 3609430780

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.