Samantha N Sundermeyer, M.A., ATR, LMHC
Individual provider Active NPI Mental Health Counselor · Bolton, MA
NPI 1285048686 · NPPES record last updated Mar 14, 2019
Key facts
- NPI
- 1285048686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 401 Main St
Bolton, MA 01740-1147 - Phone
- (978) 618-1144
- NPI assigned
- Jun 13, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Community Care, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
401 Main St
Bolton, MA 01740-1147
Mailing address
387 Old Bay Rd
Bolton, MA 01740-1253
Phone (203) 217-5678
Other practice location 1
111 South St
Somerville, MA 02143-4297
Phone (617) 284-5130
Other providers in Bolton, MA
- Rebecca Gabrielle Schlosberg
- Lacey Marie Sellati
- Suhas Sreeharshan
- Alyson Kate Suduiko
- Wendy Robin Sullivan
- The Healing Tree, LLC
- TMJ & Sleep Therapy Centre of New England
- Town of Bolton
- Leigh Dexter Tuttle
- Richard R. Waller Jr.
All providers in Bolton, MA · Mental Health Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.