Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cole Campo

Individual provider Case Manager/Care Coordinator · NPI 1659995629

Cole Campo is a Mental Health Counselor in Lake Charles, Louisiana. Qualified in 2022, 4 years ago. Practices with Edwards Family Medicine a Professional Medical Corporation, a 6-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2020
Specialties on file
2

Practice location Address checks out

1409 Kirkman St
Lake Charles, LA 70601-5344
Phone: (337) 419-3586
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1659995629
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 4, 2020
Last updated in NPPESAugust 14, 2024
Certification dateAugust 14, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Edwards Family Medicine A Professional Medical Corporation — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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