Individual provider Active NPI

Sami Nichael Pastian, LPC

  • Counselor
  • Logan, OH
National Provider Identifier
1174144943
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
C.2405866 Issued in OH
Practice address
31500 Chieftain Dr
Logan, OH 43138-8421
Phone
(740) 270-3286
NPI assigned
May 2, 2020
Last updated
Apr 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C.2405866 OH Primary
Behavior Technician 106S00000X RBT-20-114647 OH

Addresses

Primary practice location

31500 Chieftain Dr
Logan, OH 43138-8421

Mailing address

31500 Chieftain Dr
Logan, OH 43138-8421
Phone (740) 270-3286

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
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1038 Fay Ave
Lancaster, OH 43130-1003

PO Box
Suite 900926
Sandy, UT 84090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.2405866OHMDCounselor
RBT-20-114647OHMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Group Home, LLC Single Specialty Past Accepting new patients
Phoenix Group Home, LLC Single Specialty Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/pathihc/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1588377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1174144943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31500 CHIEFTAIN DR",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431388421",
            "telephone_number": "740-270-3286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31500 CHIEFTAIN DR",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431388421",
            "telephone_number": "740-270-3286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTIAN",
        "first_name": "SAMI",
        "middle_name": "NICHAEL",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-02",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C.2405866",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OH",
            "license": "RBT-20-114647",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, OH

Sources for this page

Verify at the official NPI Registry.