Individual provider Active NPI

Samantha Rott, MA, MFTA, PCA, LMHCA

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1164164943
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C10972 Issued in OR
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
C10972ORMDMental Health Counselor
LH70039494WAMDMental Health Counselor
R8410ORMDMarriage & 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.

Verify at the official NPI Registry.