Samantha Sipple, MSW, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2016033198 Issued in MO

Practice address

540 Garden Ave
Saint Louis, MO 63119-3248

Phone

(314) 246-7030

NPI assigned

Feb 6, 2018

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

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1336648286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 GARDEN AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631193248",
            "telephone_number": "314-246-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 GARDEN AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631193248",
            "telephone_number": "314-246-7030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1034 S Brentwood Blvd Ste 555",
            "address_purpose": "LOCATION",
            "city": "Richmond Heights",
            "state": "MO",
            "postal_code": "631171265",
            "country_code": "US",
            "telephone_number": "314-932-7415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIPPLE",
        "first_name": "SAMANTHA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2016033198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Kay Sipes, WHNP
• Amanda Marie Sipp, SLP
• Roslyn Sipp
• Vivian Ann Sipp, COTA
• Terri Lynn Sippel, WHNP
• Kimberly S Sirl, PH.D.
• Siro Op Royal Oak LLC
• Emily Cara Sirois
• Michelle Klara Siroko, MSW, LCSW
• Renee Marie Sirtak, RN

• Mental Health Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.