Samantha Lee Price, LMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC60986812 Issued in WA

Practice address

195 NE Gilman Blvd Ste 100
Issaquah, WA 98027-2940

Phone

(425) 295-7697

NPI assigned

Apr 20, 2021

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

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1386225308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5916 57TH DR NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982709032",
            "telephone_number": "425-367-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 NE GILMAN BLVD STE 100",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272940",
            "telephone_number": "425-295-7697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "SAMANTHA",
        "middle_name": "LEE",
        "credential": "LMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60986812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Michelle Pratt, PHARMD
• Precision Anesthesia Services, PLLC
• Premere Rehab, LLC
• Premier Pediatrics PLLC
• Wesley Premoe
• Zoraida Michelle Price, LMHC
• David Robert Primrose, DDS
• Marina Prodanovic
• Proliance Surgeons Inc P S
• Proliance Surgeons Inc P S

• Mental Health Counselor in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.