Abigail Samojla

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

04079 Issued in KS

Practice address

7381 W 133Rd St Ste 210
Overland Park, KS 66213-4750

Phone

(913) 387-2006

NPI assigned

Jul 4, 2022

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

Other names 1

• Abigail Gray Professional name

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Wyandot Center for Community Behavioral Healthcare, Inc.

  • Community/Behavioral Health Agency
  • Kansas City, KS
  • NPI 1629159389
  Medicare reassignment NPD

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

{
    "created_epoch": "1656892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689379200000",
    "number": "1083347405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13335 W 88TH CIR APT C",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662154982",
            "telephone_number": "913-240-8961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7381 W 133RD ST STE 210",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662134750",
            "telephone_number": "913-387-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMOJLA",
        "first_name": "ABIGAIL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-04",
        "last_updated": "2023-07-15",
        "certification_date": "2023-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "04079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABIGAIL",
            "last_name": "GRAY",
            "credential": "M.A., LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Molly Ann Salomone, DNP, CRNA
• Bruce H Salvaggio, M.D.
• Michelle W Salzman, LSCSW
• Sam'S Club Optical
• Saman Counseling, LLC.
• Sams West Inc
• Samuel R Lehman MD Neurology
• Prem Kumar Samuel, M.D.
• Priya R. Samuel, LMSW
• Vijaya P Samuel, MD

• Professional Counselor in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Professional Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.