Samantha Marie Amend

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC10107 Issued in MD

Practice address

139 N Main St Ste 308
Bel Air, MD 21014-8808

Phone

(443) 987-6190

NPI assigned

Nov 5, 2018

Last updated

Aug 4, 2022By the provider in NPPES

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

Opted out of Medicare

Yes, effective Apr 17, 2024 through Apr 17, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Associated Catholic Charities, Inc.

  dba Villa Maria SUD- Abingdon level 1

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Abingdon, MD
  • NPI 1346737798
  NPD (past)
• Associated Catholic Charities, Inc.

  dba Villa Maria Behavioral Health Services - Abingdon PRP

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Abingdon, MD
  • NPI 1437646882
  NPD (past)

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1376011734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 E MACPHAIL RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144414",
            "telephone_number": "443-632-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 N MAIN ST STE 308",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210148808",
            "telephone_number": "443-987-6190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Continental Dr",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "MD",
            "postal_code": "210092338",
            "country_code": "US",
            "telephone_number": "667-600-3395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMEND",
        "first_name": "SAMANTHA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-05",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC10107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Anne Alvarado, M.S.,CCC-SLP
• Alvin C. Miranda, D.D.S, P.a.
• Kechi Amadi-Obi, M.D
• Steven Louis Ambrosich, M.D.
• Amena Health & Rehabilitation Services
• American Psychiatric Care
• American Psychiatric Care LLC
• Neha Pradip Amin, MD
• Vinisha Nitin Amin, M.D.
• Patricia Amos, PT

• Professional Counselor in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.