Active NPI
Virginia Lucille Samuels
- Addiction (Substance Use Disorder) Counselor
- Belmont, OH
National Provider Identifier
1104345883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 110296
- Practice address
- 116 East Main Street
Belmont, OH 43718 - Phone
- (740) 484-4141
- Fax
- (740) 484-4143
- NPI assigned
- Sep 14, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 110296 | OH | Primary |
Addresses
Primary practice location
116 East Main Street
Belmont, OH 43718
Mailing address
P.O. Box 368
Belmont, OH 43718
Phone (740) 484-4141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110296 | OH | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1104345883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 368",
"city": "BELMONT",
"state": "OH",
"postal_code": "43718",
"telephone_number": "740-484-4141",
"fax_number": "740-484-4143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 EAST MAIN STREET",
"city": "BELMONT",
"state": "OH",
"postal_code": "43718",
"telephone_number": "740-484-4141",
"fax_number": "740-484-4143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMUELS",
"first_name": "VIRGINIA",
"middle_name": "LUCILLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-14",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "110296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belmont, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.