Samantha Marie House, PMHNP, RNFA

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

F405062-01 Issued in NY

Practice address

620 Erie Blvd W
Syracuse, NY 13204-2445

Phone

(315) 472-7363

Fax

(315) 472-0084

NPI assigned

Sep 7, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samii@hiemail.healtheconnections.org

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.

• Helio Health, Inc.

  • Substance Abuse Rehabilitation Facility
  • Syracuse, NY
  • NPI 1609892280
  Medicare reassignment NPD
• Helio Health, Inc.

  • Case Management Agency
  • Syracuse, NY
  • NPI 1952948101
  NPD (past)
• Lindsay House Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Rochester, NY
  • NPI 1780791798
  NPD (past)
• Onondaga Case Management Services Inc.

  • Adult Mental Health Clinic/Center
  • Syracuse, NY
  • NPI 1497252563
  NPD (past)

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

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735689600000",
    "number": "1306329123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 ERIE BLVD W STE 302",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042463",
            "telephone_number": "315-472-7363",
            "fax_number": "315-472-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 ERIE BLVD W",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042445",
            "telephone_number": "315-472-7363",
            "fax_number": "315-472-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSE",
        "first_name": "SAMANTHA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PMHNP, RNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-07",
        "last_updated": "2025-01-01",
        "certification_date": "2025-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "NY",
            "license": "532811",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F405062-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Traci Hourigan, RD
• Penny Hourihan, LPN
• Cassandra Ann Hourlland, LMSW
• House of Psalms 23, Inc.
• Patricia House
• Crystal Houston, LMFT
• Elizabeth Houston, LMSW
• Sarah Elizabeth Houston, LMHC
• Traci H Houston, LPN
• Hoveround Corporation (Hoveround Mobility Solutions)

• Psychiatric/Mental Health Nurse Practitioner in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.