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

Jacqueline Campbell

Individual provider Mental Health Counselor · NPI 1619368180

Jacqueline Campbell is a Mental Health Counselor in Port Saint Lucie, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2015
Specialties on file
5
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Practice location Address checks out

3189 SW Fambrough St
Port Saint Lucie, FL 34953-4541
Phone: (772) 203-3026
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X · Licence RN 9219448 (FL)
Mental Health Counselor Taxonomy 101YM0800X · Licence RN 9219448 (FL)
Registered Nurse Taxonomy 163W00000X · Licence RN 9219448 (FL)
Case Management Registered Nurse Taxonomy 163WC0400X · Licence RN 9219448 (FL)
Attendant Care Provider Taxonomy 3747A0650X · Licence RN 9219448 (FL)

Record details

NPI number1619368180
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 5, 2015
Last updated in NPPESFebruary 5, 2015
Mailing address3189 Sw Fambrough St, Port Saint Lucie, FL 34953-4541

Other providers in Port Saint Lucie