Samantha Klunk, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC7839 Issued in MD

Practice address

102 Old Solomons Island Rd Ste 202
Annapolis, MD 21401-3879

Phone

(410) 266-3058

NPI assigned

Jun 1, 2015

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

Enrolled in MD

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

University of Maryland School of Medicine, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Fore Counselling Health Centre

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1801444716
  Medicare reassignment
• Bay Area Christian Counseling

  • Professional Counselor
  • Annapolis, MD
  • NPI 1194192203

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519603200000",
    "number": "1316327786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 OLD SOLOMONS ISLAND RD STE 202",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013879",
            "telephone_number": "410-266-3058",
            "fax_number": "410-266-3257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 OLD SOLOMONS ISLAND RD STE 202",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013879",
            "telephone_number": "410-266-3058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUNK",
        "first_name": "SAMANTHA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-01",
        "last_updated": "2018-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC7839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Nicole Kline
• Payton Klingensmith
• Christine Anne Kloss, MPT
• Darren Klugman, MD, MMS
• John Robert Klune, MD
• Andrea Kneessi, DC
• Ryan E Kneessi, ND
• Nancy Marie Knight, LCSW-C, CCM
• Susan Gail Knight, LCSW-C (MSW)
• Lauren Knightly, MD

• Mental Health Counselor in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.