Mark Samara, MS, LGCP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPG12058 Issued in MD

Practice address

1201 Agora Dr Ste LB2
Bel Air, MD 21014-6863

Phone

(410) 836-7332

Fax

(410) 836-7422

NPI assigned

Nov 11, 2021

Sex

Male

Sole proprietor

No

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

Credentials

Master of Science

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 and National Provider Directory roles.

• Harford Counseling, LLC

  • Clinical Social Worker
  • Havre de Grace, MD
  • NPI 1699907493
  NPD

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1073279337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 AGORA DR STE LB2",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210146863",
            "telephone_number": "410-836-7332",
            "fax_number": "410-836-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 AGORA DR STE LB2",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210146863",
            "telephone_number": "410-836-7332",
            "fax_number": "410-836-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMARA",
        "first_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "MS, LGCP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-11",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LPG12058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saint Paul Place Specialists, Inc.
• James Robert Saklad, MD
• Vanessa Salazar
• Maggie E Salem, PHARMD
• Alison Salvatore
• Samer Saiedy MD PA
• Lesley Kristen Sampson, LCSW-C
• Sherry R Sanchez, CRNP
• Kristan Nicole Sanders, LGPC
• Prabhjeet K Sandhu, MD

• All providers in Bel Air, MD
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.