Samantha Stevens, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701010045 Issued in VA

Practice address

3258 Golansky Boulevard
Suite 201
Woodbridge, VA 22192-3253

Phone

(571) 535-4706

NPI assigned

Nov 30, 2020

Sex

Female

Sole proprietor

Yes

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

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.

• Cognitive Care

  • Mental Health Counselor
  • Dumfries, VA
  • NPI 1831020411
  NPD Authorized official

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1114521226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5396",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221945396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3258 GOLANSKY BOULEVARD",
            "address_2": "SUITE 201",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221923253",
            "telephone_number": "571-535-4706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "SAMANTHA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701010045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sreid@ardentcounselingva.com",
            "affiliation": "N",
            "address_1": "16977 Monmouth Ct",
            "city": "Dumfries",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220263253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephen Beecroft Specialty Partners of Virginia PLLC
• Andrea Stephens
• Michael Ross Sternberg, M.D.
• Steven Han DC PC
• Matthew Stevens, LPC
• Still Water Physical Therapy , PLLC
• Juanita Patricia Stokes, LPC
• Rebecca Ann Stone, CRNP
• Tonya L Stone
• Maria Stratakos, DPT

• Mental Health Counselor in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.