Chelsea Sampoll, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

03781 Issued in KS

Practice address

149 S Andover Rd Ste 100
Andover, KS 67002-7935

Phone

(316) 247-3063

Fax

(316) 247-6833

NPI assigned

Feb 17, 2022

Last updated

Feb 17, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Andover Family Counseling, LLC

  • Clinical Social Worker
  • Andover, KS
  • NPI 1952804171
  NPD

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

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1053066126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 S ANDOVER RD STE 100",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670027935",
            "telephone_number": "316-247-3063",
            "fax_number": "316-247-6833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 S ANDOVER RD STE 100",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670027935",
            "telephone_number": "316-247-3063",
            "fax_number": "316-247-6833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPOLL",
        "first_name": "CHELSEA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "03781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea S Romero, LPC, NCC
• Brandon Rooney, PHARMD
• Jason Wayne Rundell-Little, M.D.
• Desiree Runquist, LPN
• Sakura Health and Wellness, Professional Limited Liability Company (Sakura Health and Wellness)
• Alexander Sanchez
• Kristen M.W. Sander, D.D.S., M.S.
• Brice Sanner, LCMFT
• Lindsay Nicole Sanner, LSCSW
• Aaron David Scharenberg, LCPC

• Professional Counselor in Andover, KS
• Providers in Andover, KS by specialty
• Professional Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.