Individual provider Active NPI

Samantha Ashley Segall, MA

  • Professional Counselor
  • Denver, CO
National Provider Identifier
1073028759
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0016497 Issued in CO
Practice address
1880 Little Raven St Apt 144
Denver, CO 80202-6498
Phone
(310) 905-2905
NPI assigned
Dec 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 106596 CA
Marriage & Family Therapist 106H00000X 106596 CA
Professional Counselor 101YP2500X 0016497 CO Primary

Addresses

Primary practice location

1880 Little Raven St Apt 144
Denver, CO 80202-6498

Mailing address

1880 Little Raven St Apt 144
Denver, CO 80202-6498
Phone (310) 905-2905

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0016497COMDProfessional Counselor
106596CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Samantha Podstupka Therapy Current Accepting new patients
Alternative Family Services, Inc PastSince Sep 1, 2019 Accepting new patients
Bay Area Community Resources, Inc Past Accepting new patients
Alternative Family Services, Inc. PastSince Sep 1, 2019 Accepting new patients

Organizations & group practices 4

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": "1512345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1073028759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 LITTLE RAVEN ST APT 144",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802026498",
            "telephone_number": "310-905-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 LITTLE RAVEN ST APT 144",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802026498",
            "telephone_number": "310-905-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGALL",
        "first_name": "SAMANTHA",
        "middle_name": "ASHLEY",
        "name_prefix": "Miss",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-04",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "106596",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "106596",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0016497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; 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.