Jessica Sampson, M.S.

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

4252 Coral Berry Path Apt 302
Gurnee, IL 60031-9318

Phone

(914) 588-8658

NPI assigned

Jul 24, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1255940342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4252 CORAL BERRY PATH APT 302",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600319318",
            "telephone_number": "914-588-8658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4252 CORAL BERRY PATH APT 302",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600319318",
            "telephone_number": "914-588-8658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPSON",
        "first_name": "JESSICA",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-24",
        "last_updated": "2023-11-27",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica.sampson@amitahealth.org",
            "affiliation": "Y",
            "endpointDescription": "encrypted email",
            "affiliationName": "Amita Health",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1555 Barrington Rd",
            "address_2": "First Floor-Outpatient Center",
            "city": "Hoffman Estates",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601691019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Luis I Salazar, M.D.
• Samantha Salmi, LSW
• Katie Salyer Szostak, PSY.D.
• Sam'S West, Inc.
• Timothy Charles Samelson, M.D.
• Sams Club Optical
• Angie Samuel
• Ksenia Samvel, PA-C
• Ryma G Santiago, NP
• Joeanna Dyan Santos, APN-CNP

• Counselor in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.