Individual provider Active NPI

Julie Marie Sams, MA ,LPC

  • Mental Health Counselor
  • Wake Forest, NC
National Provider Identifier
1285738443
Registry record updated Mar 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3918 Issued in NC
Practice address
1788 Heritage Center Drive
Suite 104
Wake Forest, NC 27587-5012
Phone
(919) 606-1880
Fax
(919) 556-4933
NPI assigned
Sep 11, 2006
Last updated
Mar 13, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3918 NC Primary
Professional Counselor 101YP2500X 3918 NC

Addresses

Primary practice location

1788 Heritage Center Drive
Suite 104
Wake Forest, NC 27587-5012

Mailing address

1788 Heritage Center Drive
Suite 104
Wake Forest, NC 27587-5012
Phone (919) 556-6501

Other identifiers 4

IdentifierTypeStateIssuer
134VFOtherNCNC HEALTH CHOICE
6102404MedicaidNC
134VFOtherNCBCBS
8278OtherFIVE COUNTY MENTAL HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
3918NCMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bowman Family Services Inc Mental Health Current Accepting new patients

Locations

1788 Heritage Center Dr
Ste 104
Wake Forest, NC 27587
Phone (919) 556-6501

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": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457827200000",
    "number": "1285738443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1788 HERITAGE CENTER DRIVE",
            "address_2": "SUITE 104",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875012",
            "telephone_number": "919-556-6501",
            "fax_number": "919-556-4933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1788 HERITAGE CENTER DRIVE",
            "address_2": "SUITE 104",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875012",
            "telephone_number": "919-606-1880",
            "fax_number": "919-556-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMS",
        "first_name": "JULIE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MA ,LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-11",
        "last_updated": "2016-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "3918",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "3918",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC HEALTH CHOICE",
            "identifier": "134VF",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102404",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "134VF",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIVE COUNTY MENTAL HEALTH",
            "identifier": "8278",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2016; 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.