Carol B. Sampson, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT22461 Issued in CA

Practice address

405 Chinn St Ste 103
Santa Rosa, CA 95404-4311

Phone

(707) 579-0239

Fax

(707) 579-0240

NPI assigned

Jul 24, 2006

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

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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

• Lisa R Grossman PHD Psychologist a Professional Corporation

  • Psychologist
  • Santa Rosa, CA
  • NPI 1205213485
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1114949427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 CHINN ST STE 103",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044311",
            "telephone_number": "707-579-0239",
            "fax_number": "707-579-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 CHINN ST STE 103",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044311",
            "telephone_number": "707-579-0239",
            "fax_number": "707-579-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPSON",
        "first_name": "CAROL",
        "middle_name": "B.",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT22461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Elaine Salzano
• Robin Lynne Samay, PHYSICAL THERAPY
• Haitham Sami
• Ali Narsi Samii, DPT
• John Mar Samples, PH.D. CCC-SLP
• Jennifer Hastings Samuelson
• San Francisco Vamc
• San Francisco Vamc
• San Francisco Vamc
• Sarah J Sanabria, RN, NP, MS

• Marriage & Family Therapist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.