Active NPI
Samantha Kathleen Sheppard, MA
- Professional Counselor
- Greenville, OH
National Provider Identifier
1366266041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C.2406611
- Practice address
- 600 Walnut St
Greenville, OH 45331-1944 - Phone
- (937) 548-6842
- NPI assigned
- Nov 11, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | C.2406611 | OH | Primary |
Addresses
Primary practice location
600 Walnut St
Greenville, OH 45331-1944
Mailing address
571 N Clayton Rd
New Lebanon, OH 45345-9641
Phone (937) 248-4100
Other names 1
- Samantha Hawkins
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.2406611 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731283200000",
"number": "1366266041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "571 N CLAYTON RD",
"city": "NEW LEBANON",
"state": "OH",
"postal_code": "453459641",
"telephone_number": "937-248-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 WALNUT ST",
"city": "GREENVILLE",
"state": "OH",
"postal_code": "453311944",
"telephone_number": "937-548-6842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPPARD",
"first_name": "SAMANTHA",
"middle_name": "KATHLEEN",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-11",
"last_updated": "2024-11-11",
"certification_date": "2024-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.2406611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMANTHA",
"last_name": "HAWKINS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Greenville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.