Samantha Lin Lewis, Licensed Professional Clinical Counselor, Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SAMANTHA LIN LEWIS, LICENSED PROFESSIONAL CLINICAL COUNSELOR, INC

Practice address

11949 Jefferson Blvd Ste 102
Culver City, CA 90230-6336

Phone

(714) 510-2705

NPI assigned

Jan 8, 2025

Organization subpart

No

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

Authorized official

Name

Samantha Lin Lewis, MA, LPCCNPI 1396296422

Title

President

Phone

(714) 510-2705

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samantha Lin Lewis, MA, LPCC

  • Mental Health Counselor
  • Culver City, CA
  • NPI 1396296422
  NPD Authorized official

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

{
    "created_epoch": "1736294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1194535559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10162",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905050962",
            "telephone_number": "714-510-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11949 JEFFERSON BLVD STE 102",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306336",
            "telephone_number": "714-510-2705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMANTHA LIN LEWIS, LICENSED PROFESSIONAL CLINICAL COUNSELOR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "LIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-510-2705",
        "authorized_official_credential": "MA, LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thais Salles Araujo, MD
• Corina Petra Salmon
• Amanda R. Salvado, MD
• Dominica A. Salvatore
• Samantha J Chai MD Inc
• Bridgette Samp
• Maurice Bradley Sampson III, CTRC
• Cassandra Diane Sams, R.N.
• Zoraida San Roman
• Lizette Sanchez Lopez

• Mental Health Counselor in Culver City, CA
• Providers in Culver City, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.

Verify at the official NPI Registry.