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

Jonathan Randolph Campbell, LPCCANDIDATE

Individual provider Mental Health Counselor · NPI 1922879030

Jonathan Randolph Campbell, LPCCANDIDATE is a Mental Health Counselor in Oklahoma City, Oklahoma. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Oklahoma.

Years since qualifying
3
Licensed in
OK
In the registry since
2024
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Practice location Address checks out

1016 SW 44th St Ste 500
Oklahoma City, OK 73109-3615
Phone: (405) 605-4249
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 11928 (OK)

Record details

NPI number1922879030
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCCANDIDATE
Sole proprietorYes
NPI enumeratedJanuary 9, 2024
Last updated in NPPESJanuary 11, 2024
Certification dateJanuary 11, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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