Stacy Daniel Sampson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

006719 Issued in GA

Practice address

585 Research Dr
Suite B
Athens, GA 30605-2788

Phone

(706) 543-3522

Fax

(706) 543-3523

NPI assigned

Mar 7, 2012

Sex

Female

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

Enrolled in GA

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

Specialty

Mental Health Counselor

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Oasis Counseling Center, LLCGroup PAC ID 4981021482, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Law

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.

• Oasis Counseling Center, LLC

  • Professional Counselor
  • Athens, GA
  • NPI 1194063198
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1104190230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 RESEARCH DR",
            "address_2": "SUITE B",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306052788",
            "telephone_number": "706-543-3522",
            "fax_number": "706-543-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 RESEARCH DR",
            "address_2": "SUITE B",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306052788",
            "telephone_number": "706-543-3522",
            "fax_number": "706-543-3523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPSON",
        "first_name": "STACY",
        "middle_name": "DANIEL",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-07",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "006719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Salter
• Sam'S East Inc
• Milan Mahesh Sampat, MS, LPC, CHT
• Holly Norwood Samples, RD, LD
• Craig Hirsch Sampson, M.D.
• Sams East Inc
• Walter A Sams IV, MD
• Willow Samsel, OT
• Danielle G Samsury
• Lauren Young Sanders, NP

• Professional Counselor in Athens, GA
• Providers in Athens, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.