Individual provider Active NPI

Lauren Samanie, LMT

  • Massage Therapist
  • Acworth, GA
National Provider Identifier
1386311124
Registry record updated Aug 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT010336 Issued in GA
Practice address
3459 Acworth Due West Rd NW Ste 206
Acworth, GA 30101-5821
Phone
(770) 892-6287
NPI assigned
Aug 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT010336 GA Primary

Addresses

Primary practice location

3459 Acworth Due West Rd NW Ste 206
Acworth, GA 30101-5821

Mailing address

P. O. Box 801517
Acworth, GA 30101
Phone (678) 699-5076

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Lsamanie@exhalecounselingsvcs.com

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

LicenseStateTypeSpecialty
MT010336GAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1630108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630108800000",
    "number": "1386311124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P. O. BOX 801517",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "30101",
            "telephone_number": "678-699-5076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3459 ACWORTH DUE WEST RD NW STE 206",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301015821",
            "telephone_number": "770-892-6287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMANIE",
        "first_name": "LAUREN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-28",
        "last_updated": "2021-08-28",
        "certification_date": "2021-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT010336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Lsamanie@exhalecounselingsvcs.com",
            "affiliation": "N",
            "address_1": "3459 Acworth Due West Rd NW Ste 206",
            "city": "Acworth",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301015821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2021; 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.