Remington Samuels, PLMHP, PCMSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

12331 Issued in NE

Practice address

9239 W Center Rd Ste 101
Omaha, NE 68124-1900

Phone

(402) 614-2242

Fax

(402) 614-5548

NPI assigned

Aug 11, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Remington Samuels, LLC

  • Mental Health Counselor
  • Omaha, NE
  • NPI 1932777273
  Medicare reassignment NPD Authorized official
• House Enterprises Inc

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Papillion, NE
  • NPI 1285929844
  NPD (past)
• House Enterprises Inc

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Omaha, NE
  • NPI 1568996981
  NPD (past)

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1164033437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9239 W CENTER RD STE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681241900",
            "telephone_number": "402-614-2242",
            "fax_number": "402-614-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9239 W CENTER RD STE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681241900",
            "telephone_number": "402-614-2242",
            "fax_number": "402-614-5548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13304 W Center Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681443453",
            "country_code": "US",
            "telephone_number": "402-683-0720",
            "fax_number": "402-915-5066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMUELS",
        "first_name": "REMINGTON",
        "credential": "PLMHP, PCMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-11",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "7517",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "12331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juanita Samuel
• Laysia Samuel
• M Shrestha Samuel, MD
• Stacey M Samuel, PA-C
• Yazmine Rolanda Samuel
• Sierra M Samuels
• Symphany T Samuels
• Ellyette G Samuelson, PHARMD
• Eric Michael Samuelson, MD
• Greg Stuart Samuelson, D.D.S. M.S.D.

• Mental Health Counselor in Omaha, NE
• Providers in Omaha, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.