Organization Active NPI

Samantha Stuber Therapeutics, PLLC (Dba Glow Collective Integrative Therapy

  • Mental Health Counselor
  • Breckenridge, CO
National Provider Identifier
1386507218
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SAMANTHA STUBER THERAPEUTICS, PLLC (DBA GLOW COLLECTIVE INTEGRATIVE THERAPY
Practice address
111 E Lincoln Ave
Unit B
Breckenridge, CO 80424
Phone
(970) 368-3106
NPI assigned
Dec 8, 2025
Last updated
Dec 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Authorized official

Name
Samantha Johnson, MA, LPC, LAC, NMITNPI 1437810801
Title
Owner, Therapist
Phone
(970) 368-3106

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

111 E Lincoln Ave
Unit B
Breckenridge, CO 80424

Mailing address

PO Box 5511
Frisco, CO 80443-5511
Phone (970) 368-3106

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1765152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765152000000",
    "number": "1386507218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5511",
            "city": "FRISCO",
            "state": "CO",
            "postal_code": "804435511",
            "telephone_number": "970-368-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E LINCOLN AVE",
            "address_2": "UNIT B",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "80424",
            "telephone_number": "970-368-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMANTHA STUBER THERAPEUTICS, PLLC (DBA GLOW COLLECTIVE INTEGRATIVE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-08",
        "last_updated": "2025-12-08",
        "certification_date": "2025-11-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "970-368-3106",
        "authorized_official_credential": "MA, LPC, LAC, NMIT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Breckenridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; 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.