Active NPI
Samuel J Northington Jr.
- Counselor
- Petersburg, VA
National Provider Identifier
1174135461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 0701009784
- Practice address
- 20 W Bank St
Petersburg, VA 23803-3279 - Phone
- (804) 731-5570
- NPI assigned
- Aug 19, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0701009784 | VA | Primary |
Addresses
Primary practice location
20 W Bank St
Petersburg, VA 23803-3279
Mailing address
1742 S Sycamore St
Petersburg, VA 23805-1627
Phone (804) 731-5570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- samuel.northington.p1@direct.d19csb.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597795200000",
"number": "1174135461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1742 S SYCAMORE ST",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "238051627",
"telephone_number": "804-731-5570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 W BANK ST",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "238033279",
"telephone_number": "804-731-5570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORTHINGTON",
"first_name": "SAMUEL",
"middle_name": "J",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-19",
"last_updated": "2020-08-19",
"certification_date": "2020-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "VA",
"license": "0701009784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Petersburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.