Individual provider Active NPI

Gabriella Sophia Sammarone

  • Mental Health Counselor
  • Youngstown, OH
National Provider Identifier
1013740943
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
4531 Belmont Ave Ste 8
Youngstown, OH 44505-1041
Phone
(330) 759-3040
NPI assigned
Aug 26, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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 Primary

Addresses

Primary practice location

4531 Belmont Ave Ste 8
Youngstown, OH 44505-1041

Mailing address

4531 Belmont Ave Ste 8
Youngstown, OH 44505-1041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Churchill Counseling Services, Inc Mental Health CurrentSince Sep 1, 2024 Accepting new patients
Trumbull Mahoning Medical Group, Inc. PastSince Sep 1, 2024 Accepting new patients

Locations

4531 Belmont Ave
Ste 8
Youngstown, OH 44505
Phone (330) 759-0099

Networks

  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
  • KY PPO

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1013740943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4531 BELMONT AVE STE 8",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4531 BELMONT AVE STE 8",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051041",
            "telephone_number": "330-759-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMMARONE",
        "first_name": "GABRIELLA",
        "middle_name": "SOPHIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.