Kristy Marie Campbell, LPC is a medicare enrolled "Counselor - Professional" provider in Tracy, Minnesota. She graduated from healthcare school in 2021 and has 5 years of diverse experience with area of expertise as Mental Health Counselor. Her current practice location is
10628 160th St, Tracy, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(507) 649-1894.
Kristy Marie Campbell is licensed to practice in Minnesota (license number 4913) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1215647649.
Healthcare Provider's Profile
| Full Name | Kristy Marie Campbell |
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| Gender | Female |
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| Speciality | Mental Health Counselor |
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| Experience | 5 Years |
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| Location | 10628 160th St, Tracy, Minnesota |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kristy Marie Campbell graduated from medical school in 2021
NPI Data:
- NPI Number: 1215647649
- Provider Enumeration Date: 11/28/2022
- Last Update Date: 06/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 9739697962
- Enrollment ID: I20250731001184
Medical Identifiers
Medical identifiers for Kristy Marie Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215647649 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | 4913 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristy Marie Campbell is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kristy Marie Campbell, LPC
10628 160th St,
Tracy, MN 56175-1924
Ph: (507) 649-1894 | Kristy Marie Campbell, LPC
10628 160th St,
Tracy, MN 56175-1924
Ph: (507) 649-1894 |
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