Individual provider Active NPI

Nidhi Sampath, LCPC

  • Counselor
  • Bethesda, MD
National Provider Identifier
1114227196
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LC5003 Issued in MD
Practice address
4405 E West Hwy
Suite 301
Bethesda, MD 20814-4522
Phone
(301) 652-1582
NPI assigned
Oct 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LC5003 MD Primary

Addresses

Primary practice location

4405 E West Hwy
Suite 301
Bethesda, MD 20814-4522

Mailing address

7500 Woodmont Ave
Unit 217
Bethesda, MD 20814-5361
Phone (240) 426-3253

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

LicenseStateTypeSpecialty
LC5003MDMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421971200000",
    "number": "1114227196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 WOODMONT AVE",
            "address_2": "UNIT 217",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208145361",
            "telephone_number": "240-426-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 E WEST HWY",
            "address_2": "SUITE 301",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144522",
            "telephone_number": "301-652-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPATH",
        "first_name": "NIDHI",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-25",
        "last_updated": "2015-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LC5003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; 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.