Active NPI
Samantha Rott, MA, MFTA, PCA, LMHCA
- Mental Health Counselor
- Portland, OR
National Provider Identifier
1164164943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C10972
- Practice address
- 5010 SE Foster Rd Unit 86612
Portland, OR 97286-0859 - Phone
- (971) 300-4959
- NPI assigned
- Apr 11, 2022
- Last updated
- Sep 10, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH70039494 | WA | |
| Mental Health Counselor | 101YM0800X | C10972 | OR | Primary |
| Marriage & Family Therapist | 106H00000X | R8410 | OR |
Addresses
Primary practice location
5010 SE Foster Rd Unit 86612
Portland, OR 97286-0859
Mailing address
5010 SE Foster Rd Unit 86612
Portland, OR 97286-0859
Phone (971) 300-4959
Other practice location 1
6536 SE Duke St
Portland, OR 97206-6665
Phone (971) 300-4959
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C10972 | OR | MD | Mental Health Counselor |
| LH70039494 | WA | MD | Mental Health Counselor |
| R8410 | OR | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1164164943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5010 SE FOSTER RD UNIT 86612",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972860859",
"telephone_number": "971-300-4959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5010 SE FOSTER RD UNIT 86612",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972860859",
"telephone_number": "971-300-4959"
}
],
"practiceLocations": [
{
"address_1": "6536 SE Duke St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972066665",
"country_code": "US",
"telephone_number": "971-300-4959",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROTT",
"first_name": "SAMANTHA",
"name_prefix": "Mrs.",
"credential": "MA, MFTA, PCA, LMHCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-11",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH70039494",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C10972",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "R8410",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.