Individual provider Active NPI

Samantha J Wohl, MS-LPC

  • Professional Counselor
  • Ponca City, OK
National Provider Identifier
1205931367
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3745 Issued in OK
Practice address
1912 Lake Rd
Ponca City, OK 74604-4800
Phone
(580) 762-6511
Fax
(877) 377-1371
NPI assigned
Sep 14, 2006
Last updated
Jul 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3745 OK Primary

Addresses

Primary practice location

1912 Lake Rd
Ponca City, OK 74604-4800

Mailing address

1912 Lake Rd
Ponca City, OK 74604-4800
Phone (580) 762-6511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240913003060 OK Practitioner - Mental Health Counselor 8729528971 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1912 Lake Rd
Ponca City, OK 74604-4800
Phone (580) 761-2373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3745OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wohl's Counseling Clinic,LLC CurrentSince Aug 1, 2024 Accepting new patients

Locations

1912 Lake Rd
Ponca City, OK 74604
Phone (580) 761-2373

Organizations & group practices 1

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1205931367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 LAKE RD",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746044800",
            "telephone_number": "580-762-6511",
            "fax_number": "877-377-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 LAKE RD",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746044800",
            "telephone_number": "580-762-6511",
            "fax_number": "877-377-1371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOHL",
        "first_name": "SAMANTHA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "MS-LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "3745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponca City, OK

Sources for this page

Verify at the official NPI Registry.