Active NPI
Samantha Hawkins
- Mental Health Counselor
- Bedford Heights, OH
National Provider Identifier
1356864409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- S.1801922
- Practice address
- 5198 Richmond Rd
Bedford Heights, OH 44146-1331 - Phone
- (216) 378-9101
- NPI assigned
- Jul 20, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | OH | ||
| Mental Health Counselor | 101YM0800X | S.1801922 | OH | Primary |
Addresses
Primary practice location
5198 Richmond Rd
Bedford Heights, OH 44146-1331
Mailing address
12339 Wake Union Church Rd Ste 108
Wake Forest, NC 27587-4512
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0101663 | Medicaid | OH |
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 |
|---|---|---|---|
| S.1801922 | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670198400000",
"number": "1356864409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12339 WAKE UNION CHURCH RD STE 108",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275874512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5198 RICHMOND RD",
"city": "BEDFORD HEIGHTS",
"state": "OH",
"postal_code": "441461331",
"telephone_number": "216-378-9101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKINS",
"first_name": "SAMANTHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-20",
"last_updated": "2022-12-05",
"certification_date": "2022-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "S.1801922",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0101663",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bedford Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.