Darnita Denise Samuels, MSA, MA, LMFTA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

11036A Issued in NC

Practice address

300 McCullough Drive
400
Charlotte, NC 28262

Phone

(919) 807-1692

NPI assigned

May 3, 2016

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Agape Healing and Wellness Center PLLC

  • Marriage & Family Therapist
  • Charlotte, NC
  • NPI 1245999523
  NPD Authorized official
• Agape Healing and Wellness Center PLLC

  • Marriage & Family Therapist
  • Houston, TX
  • NPI 1497481972
  NPD Authorized official

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466640000000",
    "number": "1356796809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MCCULLOUGH DR",
            "address_2": "SUITE 415",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282623310",
            "telephone_number": "919-807-1692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MCCULLOUGH DRIVE",
            "address_2": "400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28262",
            "telephone_number": "919-807-1692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELS",
        "first_name": "DARNITA",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "MSA, MA, LMFTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-03",
        "last_updated": "2016-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "11036A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Reed Samson, MD
• Allysia Samuel
• Leah Samuel
• Shernette Samuels-Bremnor
• Charles Hayward Samuels Jr., CSAC-21775
• Natalie Samuels
• Seima Samuels, MSW, LCSW
• Tamara Ann Samuels, LCSW
• Kristen Lahm Samuelson, PA
• Virginia Catherine Sances, LCMHCA

• Marriage & Family Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.