Samantha Ellen Reppucci, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

12906-MH-CC Issued in MA

Practice address

205 Willow St # B
South Hamilton, MA 01982-2255

Phone

(978) 219-7121

Fax

(978) 712-0237

NPI assigned

May 7, 2013

Last updated

May 23, 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 2

Addresses

Other names 1

• Samantha Ellen Barth Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1073958898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 HIGHLAND ST",
            "city": "SOUTH HAMILTON",
            "state": "MA",
            "postal_code": "019821704",
            "telephone_number": "978-810-8925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WILLOW ST # B",
            "city": "SOUTH HAMILTON",
            "state": "MA",
            "postal_code": "019822255",
            "telephone_number": "978-219-7121",
            "fax_number": "978-712-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPPUCCI",
        "first_name": "SAMANTHA",
        "middle_name": "ELLEN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-07",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MA",
            "license": "S20352427",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "12906-MH-CC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "BARTH",
            "middle_name": "ELLEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Mental Health Counselor in South Hamilton, MA
• Providers in South Hamilton, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.