Individual provider Active NPI

Samantha Estelle Davis

  • Mental Health Counselor
  • Glens Falls, NY
National Provider Identifier
1225496870
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
008344 Issued in NY
Practice address
333 Glen St Ste 200-M
Glens Falls, NY 12801-3666
Phone
(518) 480-8117
NPI assigned
Feb 10, 2016
Last updated
Mar 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 008344 NY Primary

Addresses

Primary practice location

333 Glen St Ste 200-M
Glens Falls, NY 12801-3666

Mailing address

333 Glen St Ste 200-M
Glens Falls, NY 12801-3666
Phone (518) 480-8117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250505000378 NY Practitioner - Mental Health Counselor 3274059266 Practice locations: Glens Falls, NY
I20260107003260 AR Practitioner - Mental Health Counselor 3274059266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3825 Stonehenge Ave
Springdale, AR 72764-3860

534 N Mulligan Dr
Fayetteville, AR 72704-7518

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Point Momentum, P.L.L.C. Mental Health CurrentSince Jan 1, 2026 Accepting new patients

Locations

2592 N Gregg Ave
Ste 35
Fayetteville, AR 72703
Phone (479) 856-2602

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": "1455062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1225496870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 GLEN ST STE 200-M",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013666",
            "telephone_number": "518-480-8117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 GLEN ST STE 200-M",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013666",
            "telephone_number": "518-480-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SAMANTHA",
        "middle_name": "ESTELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-10",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "008344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

Verify at the official NPI Registry.