Samantha Renee Stull

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

116 N High St
Mount Orab, OH 45154-9158

Phone

(937) 444-6127

NPI assigned

Sep 25, 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

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.

• Talbert House

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cincinnati, OH
  • NPI 1619900834
  NPD (past)
• Talbert House Primary Care

  • Family Medicine Physician
  • Cincinnati, OH
  • NPI 1225492747
  NPD (past)

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1124635990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 WOODBURN AVE APT 202",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452063043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 N HIGH ST",
            "city": "MOUNT ORAB",
            "state": "OH",
            "postal_code": "451549158",
            "telephone_number": "937-444-6127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STULL",
        "first_name": "SAMANTHA",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "srstull@talberthouse.org",
            "affiliation": "N",
            "address_1": "116 N High St",
            "city": "Mount Orab",
            "state": "OH",
            "country_code": "US",
            "postal_code": "451549158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Clifford John Steinle III, D.D.S.
• Lacee Stephens, FNP-BC
• Holly Stith
• Gloria Stone
• Megan Stowell
• Sydney Sturgill
• Superior Physiotherapy & Performance, LLC
• Mia Niccole Swayne, FNP-C
• Cindy Lynn Tackett, LMT
• Jan Tarvin, QMHS

• Mental Health Counselor in Mount Orab, OH
• Providers in Mount Orab, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.