Sara Samuels, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MF001243 Issued in PA

Practice address

1800 JFK Blvd Ste 1406
Philadelphia, PA 19103-7437

Phone

(215) 840-6253

NPI assigned

Aug 3, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 17, 2024 through Jun 17, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• People First Therapy Group

  • Clinical Social Worker
  • Philadelphia, PA
  • NPI 1740870518
  NPD

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1104590306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 JFK BLVD STE 1406",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191037437",
            "telephone_number": "215-840-6253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 JFK BLVD STE 1406",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191037437",
            "telephone_number": "215-840-6253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELS",
        "first_name": "SARA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "MF001243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Philadelphia",
            "affiliation": "N",
            "address_1": "201 S 18th St Apt 2207",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191035945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Janice Samuels, D.D.S.
• Leonard E Samuels, MD
• Lleras A Samuels, MD
• Louis Edward Samuels, MD
• Rosa Dora Samuels, MSPAS, PA-C
• San Dalianny Home Care Services, LLC
• Myint Myint San
• Peter D Sananman, MD
• Sanat K.Mandal M.D. Associates
• Silvia Sanche

• Marriage & Family Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Marriage & Family Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.