Individual provider Active NPI

Patricia A Samson, MS, LMHC, NCC

  • Mental Health Counselor
  • Hamilton, NY
National Provider Identifier
1285826743
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
004273 Issued in NY
Practice address
45 Lebanon St FL 1
Hamilton, NY 13346-1225
Phone
(315) 367-8458
Fax
(315) 883-1315
NPI assigned
Aug 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

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
Mental Health Counselor 101YM0800X 004273 NY Primary

Addresses

Primary practice location

45 Lebanon St FL 1
Hamilton, NY 13346-1225

Mailing address

3425 English Ave
Morrisville, NY 13408-1921
Phone (315) 415-7969

Other practice location 1

Morrisville State College
Building 9 Student Health Center
Morrisville, NY 13408
Phone (315) 684-6078

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 Science

State licenses

LicenseStateTypeSpecialty
004273NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1285826743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 ENGLISH AVE",
            "city": "MORRISVILLE",
            "state": "NY",
            "postal_code": "134081921",
            "telephone_number": "315-415-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 LEBANON ST FL 1",
            "city": "HAMILTON",
            "state": "NY",
            "postal_code": "133461225",
            "telephone_number": "315-367-8458",
            "fax_number": "315-883-1315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Morrisville State College",
            "address_2": "Building 9 Student Health Center",
            "address_purpose": "LOCATION",
            "city": "Morrisville",
            "state": "NY",
            "postal_code": "13408",
            "country_code": "US",
            "telephone_number": "315-684-6078",
            "fax_number": "315-684-6493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMSON",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "credential": "MS, LMHC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-17",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "004273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; 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.