Individual provider Active NPI

Samantha Brinkley

  • Mental Health Counselor
  • West Palm Beach, FL
National Provider Identifier
1013562206
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
8895 N Military TRL Ste 300C
West Palm Beach, FL 33410-6279
Phone
(239) 628-6324
NPI assigned
Aug 5, 2019
Last updated
Aug 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

8895 N Military TRL Ste 300C
West Palm Beach, FL 33410-6279

Mailing address

8895 N Military TRL Ste 300C
West Palm Beach, FL 33410-6279

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241108000087 TN Practitioner - Mental Health Counselor 3072047422 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, LLC CurrentSince Aug 26, 2024 Accepting new patients
Center for Child Counseling, Inc CurrentSince Apr 20, 2021 Accepting new patients
Family Care Center, LLC Mental Health CurrentSince Aug 26, 2024 Accepting new patients

Locations

8895 N Military Trl
Ste 300C
West Palm Beach, FL 33410
Phone (561) 244-9499

5030 Carothers Pkwy
Ste 120
Franklin, TN 37067
Phone (615) 623-4637

820 N Mount Juliet Rd
Ste 220
Mt Juliet, TN 37122
Phone (615) 208-2908

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15315/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1013562206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8895 N MILITARY TRL STE 300C",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334106279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8895 N MILITARY TRL STE 300C",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334106279",
            "telephone_number": "239-628-6324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINKLEY",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.