Individual provider Active NPI

Samantha Verdecchia

  • Mental Health Counselor
  • Hauppauge, NY
National Provider Identifier
1427785658
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
111 Smithtown Byp Ste 207
Hauppauge, NY 11788-2512
Phone
(631) 374-5815
NPI assigned
Aug 8, 2022
Last updated
Aug 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

111 Smithtown Byp Ste 207
Hauppauge, NY 11788-2512

Mailing address

21 Glen Hollow Dr Apt G28
Holtsville, NY 11742-2459
Phone (516) 526-6911

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address samantha.verdecchia@smithtowntherapy.com Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Ufko, LCSW, PLLC CurrentSince Aug 14, 2022 Accepting new patients

Locations

111 Smithtown Byp
Ste 207
Hauppauge, NY 11788
Phone (631) 374-5815

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1427785658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 GLEN HOLLOW DR APT G28",
            "city": "HOLTSVILLE",
            "state": "NY",
            "postal_code": "117422459",
            "telephone_number": "516-526-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SMITHTOWN BYP STE 207",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882512",
            "telephone_number": "631-374-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERDECCHIA",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "samantha.verdecchia@smithtowntherapy.com",
            "affiliation": "N",
            "endpointDescription": "Professional Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "111 Smithtown Byp Ste 207",
            "city": "Hauppauge",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117882512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.