CMS-1500 Box 24J / 33a • NPI
1356503361
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
101YP2500X (CMS E2)
Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor
Box 32 Service Location & ZIP+4
6303 26 MILE RD STE 120, WASHINGTON, MI, 48094-3851
✓ 9-Digit EDI 837 ZIP+4 (48094-3851)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1356503361 (RACHELLE KRISTEN CAMPBELL, LPC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1356503361 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | RACHELLE KRISTEN CAMPBELL, LPC |
| Plain-English Specialty | Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor NUCC Code: 101YP2500X (Counselor, Professional) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 6303 26 MILE RD STE 120, WASHINGTON, MI, 48094-3851 |
| Practice Telephone / Fax | Tel: (248) 978-5625 |
| Administrative Mailing Address | 3651 ACADIA DR, LAKE ORION, MI, 48360-2723 |
| Enumeration & Last Sync | Enumerated: 2008-06-30 | CMS Record Updated: 2019-03-26 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (101YP2500X)
What Does Taxonomy Code 101YP2500X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 101YP2500X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (RACHELLE KRISTEN CAMPBELL, LPC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
101YP2500X — Counselor, ProfessionalPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor | State: MI | License: 6401009560 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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