Samantha Lee Bangs, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

004359 Issued in CT

Practice address

123 S Main St Ste 110B
Newtown, CT 06470-5313

Phone

(203) 628-6784

NPI assigned

Jan 27, 2021

Last updated

Jul 24, 2023By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Willow and Oak Wellness, LLC

  • Clinical Social Worker
  • Newtown, CT
  • NPI 1740948918

  Professional

  NPD

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1114518800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 S MAIN ST STE 110B",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064705313",
            "telephone_number": "203-628-6784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S MAIN ST STE 110B",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064705313",
            "telephone_number": "203-628-6784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANGS",
        "first_name": "SAMANTHA",
        "middle_name": "LEE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-27",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "004359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Marie Babineau, PHARMD
• Umu Kultumi Bah, PA-C
• Corinna Balanon Soriano, M.D.
• Rosa Maria Baldino, LCSW, MSW
• Caitlin M Balint, APRN
• Jill Bargas
• Andrew C Barlow, PA-C
• Chelsea Zara Barnes, PT, DPT
• Sarah Ravel Baroody, M.D.
• Joshua E Baum

• Professional Counselor in Newtown, CT
• Providers in Newtown, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.