Penny Sampson, LCMHC, MLADC, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

394 Issued in NH

Practice address

1465 Hooksett Rd Unit 227
Hooksett, NH 03106-1877

Phone

(720) 485-2777

NPI assigned

Mar 27, 2020

Last updated

Mar 27, 2020By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1417584434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 HOOKSETT RD UNIT 227",
            "city": "HOOKSETT",
            "state": "NH",
            "postal_code": "031061877",
            "telephone_number": "720-485-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 HOOKSETT RD UNIT 227",
            "city": "HOOKSETT",
            "state": "NH",
            "postal_code": "031061877",
            "telephone_number": "720-485-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPSON",
        "first_name": "PENNY",
        "credential": "LCMHC, MLADC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7204852777",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Hooksett, NH
• Providers in Hooksett, NH by specialty
• Mental Health Counselor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; 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.