Active NPI
Samantha Setzer Sult, LPCA
- Counselor
- Charlotte, NC
National Provider Identifier
1427212448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- A8732
- Practice address
- 6412 Bannington Rd
Charlotte, NC 28226-1327 - Phone
- (704) 996-0263
- NPI assigned
- Jul 18, 2008
- Last updated
- Jan 17, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | A8732 | NC | Primary |
Addresses
Primary practice location
6412 Bannington Rd
Charlotte, NC 28226-1327
Mailing address
955 Lynnview CT
Kannapolis, NC 28081-5782
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 18, 2024 through Jan 18, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A8732 | NC | MD | Counselor |
| 8732 | NC | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326758400000",
"number": "1427212448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 LYNNVIEW CT",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280815782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6412 BANNINGTON RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282261327",
"telephone_number": "704-996-0263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULT",
"first_name": "SAMANTHA",
"middle_name": "SETZER",
"credential": "LPCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-18",
"last_updated": "2012-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "A8732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; 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.