Samantha Petroshius-Crocker, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH15249 Issued in FL

Practice address

51 S Main Ave Ste 304
Clearwater, FL 33765

Phone

(727) 784-8244

NPI assigned

Aug 1, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Changing Tides Counseling, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Clearwater, FL
  • NPI 1639887672
  NPD Authorized official
• Caring Counseling LLC

  • Mental Health Counselor
  • New Port Richey, FL
  • NPI 1831596253
  NPD (past)
• Positive Outcomes Counseling

  • Clinical Social Worker
  • New Port Richey, FL
  • NPI 1437670973
  NPD (past)

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1295259265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 S MAIN AVE STE 304",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337653937",
            "telephone_number": "727-784-8244",
            "fax_number": "727-322-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 S MAIN AVE STE 304",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33765",
            "telephone_number": "727-784-8244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8022 Old County Road 54",
            "address_purpose": "LOCATION",
            "city": "New Port Richey",
            "state": "FL",
            "postal_code": "346536409",
            "country_code": "US",
            "telephone_number": "727-784-8244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETROSHIUS-CROCKER",
        "first_name": "SAMANTHA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-01",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH15249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly A Peterson, DC
• Mandee Peterson, CRNA
• Michael Walter Peterson, CRNA
• Julia Grace Petrarca
• Samuel Petro, O.D.
• Glen C Pettersen, DC
• Christopher Edwin Pettet, D.C.
• Sirrenna Petty
• Kim Ngan Thi Pham, O.D.
• Nguyen Pham, DMD

• Mental Health Counselor in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; 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.