Individual provider Active NPI

Samantha Tortora, LPCC

  • Professional Counselor
  • Columbus, OH
National Provider Identifier
1285006833
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E. 1200206 Issued in OH
Practice address
495 E Main St
Columbus, OH 43215-5349
Phone
(614) 355-8695
Fax
(614) 355-8620
NPI assigned
Oct 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2016

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 E. 1200206 OH Primary

Addresses

Primary practice location

495 E Main St
Columbus, OH 43215-5349

Mailing address

Dept 781625
Apt. D
Detroit, MI 48278-1625
Phone (614) 355-8004

Other identifiers 1

IdentifierTypeStateIssuer
2846675MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240105002460 OH Practitioner - Mental Health Counselor 3072964899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Behavioral Health, LLCGroup PAC ID 4385081249, 16 clinicians

Practice addresses (Care Compare)

124 County Line Rd W
Suite B
Westerville, OH 43082-7233
Phone (614) 360-2600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E. 1200206OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Behavioral Health, LLC Professional CurrentSince May 28, 2024 Accepting new patients
Nationwide Children'S Hospital Past Accepting new patients

Locations

6265 Riverside Dr
Ste 1S
Dublin, OH 43017
Phone (614) 360-2600

115 Commerce Park Dr
Ste B
Westerville, OH 43082
Phone (614) 360-2600

124 County Line Rd W
Ste B
Westerville, OH 43082
Phone (614) 360-2600

115 Commerce Park Dr
Westerville, OH 43082
Phone (614) 360-2600

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474502400000",
    "number": "1285006833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 781625",
            "address_2": "APT. D",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781625",
            "telephone_number": "614-355-8004",
            "fax_number": "614-355-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 E MAIN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432155349",
            "telephone_number": "614-355-8695",
            "fax_number": "614-355-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORTORA",
        "first_name": "SAMANTHA",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-22",
        "last_updated": "2016-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E. 1200206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2846675",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.