Anita Sampson, LAC, KCGC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

282 Issued in KS

Practice address

1804 Glendale
Salina, KS 67401-6601

Phone

(785) 825-6224

Fax

(785) 825-1191

NPI assigned

Jun 13, 2014

Last updated

Oct 27, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445904000000",
    "number": "1437563822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 S. OHIO ST.",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674022117",
            "telephone_number": "785-825-6224",
            "fax_number": "785-827-7895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 GLENDALE",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674016601",
            "telephone_number": "785-825-6224",
            "fax_number": "785-825-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPSON",
        "first_name": "ANITA",
        "credential": "LAC, KCGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-13",
        "last_updated": "2015-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100106710 R",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Salina Usd 305 Central Kansas Cooperative in Education
• Salina Windsor SNF Opco, LLC (Legacy at Salina)
• Saline County Commission on Aging
• Jacelyn Salmans
• Ahmad Walid Samadzai
• Sams West Inc (Sams Pharmacy 10-6426)
• Nicole D Samuelson, AUD
• Victoria V Sander, LMSW
• Carlie Sanders
• Lane Sanders, DPT

• Addiction (Substance Use Disorder) Counselor in Salina, KS
• Providers in Salina, KS by specialty
• Addiction (Substance Use Disorder) Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.