Samantha Alyse Sanders, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

4101007277 Issued in MI

Practice address

1611 W Centre Ave Ste 201
Portage, MI 49024-5393

Phone

(269) 281-4380

NPI assigned

Mar 5, 2019

Last updated

Aug 4, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Therapize Counseling & Wellness, LLC

  • Marriage & Family Therapist
  • Portage, MI
  • NPI 1831828441
  NPD Authorized official
• Richard Kneip, PH.D., P.C.

  dba Great Lakes Psychology Group

  • Community/Behavioral Health Agency
  • Clarkston, MI
  • NPI 1679739700
  NPD (past)

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1255899761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7652 YORKTOWN",
            "city": "RICHLAND",
            "state": "MI",
            "postal_code": "490839458",
            "telephone_number": "269-967-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 W CENTRE AVE STE 201",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490245393",
            "telephone_number": "269-281-4380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1651 W Centre Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "MI",
            "postal_code": "490246313",
            "country_code": "US",
            "telephone_number": "269-366-0650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "SAMANTHA",
        "middle_name": "ALYSE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-05",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101007277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sams East Inc (Sams Pharmacy 10-6661)
• Jennifer Lynn Sandborn
• Pamela Joyce Sanders-Carter, RN
• Gabrielle E Sanders
• Lee Carlin Sanders, MA LLP LMSW
• Sandra Bowker and Associates, PLC
• Jennifer L Sarantos, D.D.S.
• Jessica Saucedo
• Megan Elizabeth Saucedo
• Karen Marie Sauer, PT

• Marriage & Family Therapist in Portage, MI
• Providers in Portage, MI by specialty
• Marriage & Family Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.