Samantha Nemirov

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPCC22217 Issued in CA

Practice address

4241 Jutland Dr Ste 207
San Diego, CA 92117-3653

Phone

(619) 733-6414

NPI assigned

Mar 13, 2025

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

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

{
    "created_epoch": "1741824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773532800000",
    "number": "1124828843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3288 5TH AVE APT 323",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4241 JUTLAND DR STE 207",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921173653",
            "telephone_number": "619-733-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEMIROV",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-13",
        "last_updated": "2026-03-15",
        "certification_date": "2026-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LPCC22217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackie Irene Nembo Kom, APRN, AGPCNP-BC,
• Allison Nemecek
• Rand Khouri Nemeh, MD
• Claudia Nemeth
• Hunter Nemeth
• Mackenzie Lee Nemoff
• Rahul V Nene, MD, PHD
• Kimberly A Nenemay, PSY.D.
• Stephanie Nenigar
• Paula Nenn, MD

• Mental Health Counselor in San Diego, CA
• Providers in San Diego, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2026; 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.