Samantha Farber

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

46003103A Issued in IN

Practice address

1595 S Calumet Rd
Suite #3
Chesterton, IN 46304-2388

Phone

(844) 896-0235

Fax

(219) 898-4258

NPI assigned

Jan 26, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Jacob'S Ladder Pediatric Rehab Center

  • Speech-Language Pathologist
  • Chesterton, IN
  • NPI 1164251849
  NPD (past)
• Jacob'S Ladder Pediatric Rehab Center

  • Physical Therapist
  • Chesterton, IN
  • NPI 1265519151

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1396282422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 RED COACH DR",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453144",
            "telephone_number": "574-387-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 S CALUMET RD",
            "address_2": "SUITE #3",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463042388",
            "telephone_number": "844-896-0235",
            "fax_number": "219-898-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARBER",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-26",
        "last_updated": "2024-08-02",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "46003103A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200196020A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Evenson
• Excellence in Renal Care LLC
• Amanda Facer
• Angela Fain, RBT
• Jennifer Carol Fancher, FNP
• Karen Marie Fatouros, LMHC
• Susan M. Fazekas, FPN
• Samantha Federico, PTA
• Julia M Ferguson, OTR/L
• Fidelis Physical Therapy

• Speech-Language Pathologist in Chesterton, IN
• Providers in Chesterton, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.

Verify at the official NPI Registry.