Active NPI
Sam Douglas Caurdy, MSCP, LPC
- Professional Counselor
- Canonsburg, PA
National Provider Identifier
1336997121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC018768
- Practice address
- 2000 Waterdam Plaza Dr Ste 240
Canonsburg, PA 15317-5411 - Phone
- (412) 219-7378
- NPI assigned
- May 8, 2024
- Sex
- Male
- 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 | PC018768 | PA | Primary |
Addresses
Primary practice location
2000 Waterdam Plaza Dr Ste 240
Canonsburg, PA 15317-5411
Mailing address
139 Scott LN
Venetia, PA 15367-1115
Phone (810) 844-6697
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC018768 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752192000000",
"number": "1336997121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 SCOTT LN",
"city": "VENETIA",
"state": "PA",
"postal_code": "153671115",
"telephone_number": "810-844-6697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 WATERDAM PLAZA DR STE 240",
"city": "CANONSBURG",
"state": "PA",
"postal_code": "153175411",
"telephone_number": "412-219-7378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAURDY",
"first_name": "SAM",
"middle_name": "DOUGLAS",
"credential": "MSCP, LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-08",
"last_updated": "2025-07-11",
"certification_date": "2025-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC018768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canonsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.