Active NPI
Samantha Felts Pauley, LPC, LMFT, MAC
- Addiction (Substance Use Disorder) Counselor
- Beaverton, OR
National Provider Identifier
1144428905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 6600 SW 105TH Ave Ste 115
Beaverton, OR 97008-8833 - Phone
- (503) 644-7300
- NPI assigned
- Jul 3, 2007
- Last updated
- Mar 24, 2016
- 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 | Primary |
Addresses
Primary practice location
6600 SW 105TH Ave Ste 115
Beaverton, OR 97008-8833
Mailing address
8625 SW Lizzie CT
Tigard, OR 97223-7097
Phone (503) 505-4191
Other names 1
- Samantha Jean Felts
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458777600000",
"number": "1144428905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8625 SW LIZZIE CT",
"city": "TIGARD",
"state": "OR",
"postal_code": "972237097",
"telephone_number": "503-505-4191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600 SW 105TH AVE STE 115",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970088833",
"telephone_number": "503-644-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULEY",
"first_name": "SAMANTHA",
"middle_name": "FELTS",
"credential": "LPC, LMFT, MAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-03",
"last_updated": "2016-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMANTHA",
"last_name": "FELTS",
"middle_name": "JEAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.