Active NPI
Michelle Diane Samis, LMFT23714
- Mental Health Counselor
- Aptos, CA
National Provider Identifier
1073351615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LMFT23714
- Practice address
- 440 Palmer Ave
Aptos, CA 95003-5247 - Phone
- (831) 818-8834
- NPI assigned
- Jul 17, 2024
- Last updated
- Jul 17, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LMFT23714 | CA | Primary |
Addresses
Primary practice location
440 Palmer Ave
Aptos, CA 95003-5247
Mailing address
440 Palmer Ave
Aptos, CA 95003-5247
Phone (831) 818-8834
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 20, 2024 through Jul 20, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT23714 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1073351615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 PALMER AVE",
"city": "APTOS",
"state": "CA",
"postal_code": "950035247",
"telephone_number": "831-818-8834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 PALMER AVE",
"city": "APTOS",
"state": "CA",
"postal_code": "950035247",
"telephone_number": "831-818-8834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMIS",
"first_name": "MICHELLE",
"middle_name": "DIANE",
"credential": "LMFT23714",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-17",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "LMFT23714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aptos, CA
- John Salluce, MS
- Glenn R. Saltz, M.D.
- Matthew Saltzman
- Salvatore Fratianni D O-a Medical Corporation
- Salvatore Fratianni D.O. a Medical Corporation
- Rebecca M Sampson
- Sanna Physical Therapy Inc
- Stacey Lee Sanna, PT
- Santa Cruz Medical Foundation Palo Alto Medical Foundation (Sutter Santa Cruz Aptos)
- Donald T. Saposnek, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.