CHARLTON C. CAMPBELL – NPI #1285211029
Peer Specialist

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

CHARLTON CAMPBELL is a peer specialist located in CHULA VISTA, CA. NPPES has assigned the NPI number 1285211029 to CHARLTON CAMPBELL on March 26, 2021. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 175T00000X from the Health Care Provider Taxonomy code set, which is classified as Peer Specialist.

See the complete NPI profile for CHARLTON CAMPBELL below.

NPI Profile for
CHARLTON C. CAMPBELL

NPI Number
1285211029
Enumeration Date

(more than 5 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CHARLTON C. CAMPBELL
Primary location
330 MOSS ST
CHULA VISTA, CA 91911-2005
Phone: (619) 585-4221 Fax:
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Mar 25, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
175T00000X
- Peer Specialist (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.