Individual provider Active NPI

Samuel J Humphries, MA

  • Counselor
  • Wexford, PA
National Provider Identifier
1104577444
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
C.2203771-TRNE Issued in OH
Practice address
11883 Perry Hwy
Wexford, PA 15090-7353
Phone
(724) 987-2993
NPI assigned
Jan 18, 2022
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
C.2203771-TRNEOHMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Counseling Pittsburgh LLC Counselor CurrentSince Nov 8, 2025 Accepting new patients

Locations

11883 Perry Hwy
Ste D
Wexford, PA 15090
Phone (724) 987-2993

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C.2203771-TRNE OH Primary

Addresses

NPPES NPI Registry

Primary practice location

11883 Perry Hwy
Wexford, PA 15090-7353

Mailing address

11883 Perry Hwy Ste D
Wexford, PA 15090-7353
Phone (724) 987-2993

Other practice location 1

20273 Route 19
Cranberry Twp, PA 16066-6120
Phone (724) 987-2993

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 29, 2025.

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1104577444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11883 PERRY HWY STE D",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150907353",
            "telephone_number": "724-987-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11883 PERRY HWY",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150907353",
            "telephone_number": "724-987-2993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20273 Route 19",
            "address_purpose": "LOCATION",
            "city": "Cranberry Twp",
            "state": "PA",
            "postal_code": "160666120",
            "country_code": "US",
            "telephone_number": "724-987-2993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUMPHRIES",
        "first_name": "SAMUEL",
        "middle_name": "J",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-18",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C.2203771-TRNE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.