Active NPI
Samantha Olivia Milgrim, M.A. , R.C.
- Professional Counselor
- Oakton, VA
National Provider Identifier
1164215455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0704018013
- Practice address
- 10455 White Granite Dr
Oakton, VA 22124-2764 - Phone
- (571) 567-1418
- NPI assigned
- May 28, 2025
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0704018013 | VA | Primary |
Addresses
Primary practice location
10455 White Granite Dr
Oakton, VA 22124-2764
Mailing address
15062 Maple Glen CT
Montclair, VA 22025-3019
Phone (703) 850-5835
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 |
|---|---|---|---|
| 0704018013 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748390400000",
"number": "1164215455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15062 MAPLE GLEN CT",
"city": "MONTCLAIR",
"state": "VA",
"postal_code": "220253019",
"telephone_number": "703-850-5835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10455 WHITE GRANITE DR",
"city": "OAKTON",
"state": "VA",
"postal_code": "221242764",
"telephone_number": "571-567-1418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILGRIM",
"first_name": "SAMANTHA",
"middle_name": "OLIVIA",
"credential": "M.A. , R.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-28",
"last_updated": "2025-05-28",
"certification_date": "2025-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0704018013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.