Active NPI
Emily Elizabeth Samuel, LPC
- Professional Counselor
- New Haven, CT
National Provider Identifier
1295292290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3682
- Practice address
- 40 Temple Street, Ste 7C
Yale Child Outpatient Clinic
New Haven, CT 06510 - Phone
- (203) 432-2305
- NPI assigned
- Feb 26, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3682 | CT | Primary |
Addresses
Primary practice location
40 Temple Street, Ste 7C
Yale Child Outpatient Clinic
New Haven, CT 06510
Mailing address
40 Temple Street, Ste 7C
Yale Child Outpatient Clinic
New Haven, CT 06510
Phone (203) 432-2305
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551139200000",
"number": "1295292290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 TEMPLE STREET, STE 7C",
"address_2": "YALE CHILD OUTPATIENT CLINIC",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06510",
"telephone_number": "203-432-2305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 TEMPLE STREET, STE 7C",
"address_2": "YALE CHILD OUTPATIENT CLINIC",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06510",
"telephone_number": "203-432-2305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMUEL",
"first_name": "EMILY",
"middle_name": "ELIZABETH",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-26",
"last_updated": "2019-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "3682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.