Samantha Marie Douglas, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH28336 Issued in FL

Practice address

451 SW Bethany Dr Ste 101
Port St Lucie, FL 34986-1964

Phone

(772) 842-0017

NPI assigned

May 1, 2026

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1777593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786838400000",
    "number": "1144167677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 SW BETHANY DR STE 101",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 SW BETHANY DR STE 101",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861964",
            "telephone_number": "772-842-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "SAMANTHA",
        "middle_name": "MARIE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-01",
        "last_updated": "2026-08-16",
        "certification_date": "2026-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH28336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christella Dorval
• Regine Dorvil, MD
• Michael Doss, D.P.M.
• Doudges Services LLC
• Anne-Maria Hofmann Douglas, APRN
• Tiffany Douglas
• Roselaure Doura Ramezani
• Diana Milena Dovale, B.S., ITDS
• Cailin Eileen Dowd
• Dr Alan H Siegel P a

• Mental Health Counselor in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.