Individual provider Active NPI

Vanessa S Sampson-Schneider, LMHC

  • Professional Counselor
  • Salisbury, NC
National Provider Identifier
1144630674
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
MH 12379 Issued in FL
Practice address
1636 W Colonial Dr
Salisbury, NC 28144-2265
Phone
(904) 701-7813
Fax
(904) 212-6315
NPI assigned
May 6, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X MH 12379 FL Primary

Addresses

Primary practice location

1636 W Colonial Dr
Salisbury, NC 28144-2265

Mailing address

1636 W Colonial Dr
Salisbury, NC 28144-2265
Phone (904) 701-7813

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20260601000599 NC Practitioner - Mental Health Counselor 0547730525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 25016
Dallas, TX 75225

PO Box
Suite 25016
Dallas, TX 75225-1016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH 12379FLMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Emily Grimes, LCSW PLLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1144630674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 W COLONIAL DR",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442265",
            "telephone_number": "904-701-7813",
            "fax_number": "904-212-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 W COLONIAL DR",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442265",
            "telephone_number": "904-701-7813",
            "fax_number": "904-212-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPSON-SCHNEIDER",
        "first_name": "VANESSA",
        "middle_name": "S",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-06",
        "last_updated": "2023-01-03",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH 12379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

Verify at the official NPI Registry.