Active NPI
Samantha Sessoms, LCASA
- Addiction (Substance Use Disorder) Counselor
- Shallotte, NC
National Provider Identifier
1114739620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 30575
- Practice address
- 120 Coastal Horizons Dr
Shallotte, NC 28470-6094 - Phone
- (910) 754-4515
- Fax
- (910) 341-5779
- NPI assigned
- Jan 22, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 30575 | NC | Primary |
Addresses
Primary practice location
120 Coastal Horizons Dr
Shallotte, NC 28470-6094
Mailing address
615 Shipyard Blvd
Wilmington, NC 28412-6431
Phone (910) 343-0145
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
| License | State | Type | Specialty |
|---|---|---|---|
| 30575 | NC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737504000000",
"number": "1114739620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 SHIPYARD BLVD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284126431",
"telephone_number": "910-343-0145",
"fax_number": "910-341-5779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 COASTAL HORIZONS DR",
"city": "SHALLOTTE",
"state": "NC",
"postal_code": "284706094",
"telephone_number": "910-754-4515",
"fax_number": "910-341-5779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SESSOMS",
"first_name": "SAMANTHA",
"credential": "LCASA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-22",
"last_updated": "2025-01-22",
"certification_date": "2025-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "30575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shallotte, NC
- Brenda A Scronce, PA-C
- Seaside Psychological Assessments and Resources for Kids PLLC
- Karla Melissa Sebastian, OTR/L
- Britton Seivert, LPC LCMHCA
- Haley Sellers, BSN RN IBCLC
- Shallotte Chiropractic Balance and Wellness PLLC
- Shallotte Chiropractic PLLC
- Shallotte Medical Center Inc
- Shallotte Urgent Care PA
- Shallotte Volunteer Rescue Squad
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.