Active NPI
Samantha Nicole Johnson, LPC, LAC
- Mental Health Counselor
- Frisco, CO
National Provider Identifier
1437810801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC.0020628
- Practice address
- 409 Main St Ste 220C
Frisco, CO 80443-5929 - Phone
- (970) 368-3106
- NPI assigned
- Jan 6, 2022
- Last updated
- Dec 11, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC.0020628 | CO | Primary |
| Professional Counselor | 101YP2500X | LPC.0020628 | CO |
Addresses
Primary practice location
409 Main St Ste 220C
Frisco, CO 80443-5929
Mailing address
PO Box 5511
Frisco, CO 80443-5511
Phone (585) 469-5368
Other practice location 1
111 E Lincoln Ave
Unit B
Breckenridge, CO 80424
Phone (970) 368-3106
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0020628 | CO | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samantha Stuber Therapeutics, PLLC (Dba Glow Collective Integrative Therapy | Mental Health | Current | Accepting new patients |
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.
-
- Mental Health Counselor
- Breckenridge, CO
- NPI 1386507218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765411200000",
"number": "1437810801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5511",
"city": "FRISCO",
"state": "CO",
"postal_code": "804435511",
"telephone_number": "585-469-5368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 MAIN ST STE 220C",
"city": "FRISCO",
"state": "CO",
"postal_code": "804435929",
"telephone_number": "970-368-3106"
}
],
"practiceLocations": [
{
"address_1": "111 E Lincoln Ave",
"address_2": "Unit B",
"address_purpose": "LOCATION",
"city": "Breckenridge",
"state": "CO",
"postal_code": "80424",
"country_code": "US",
"telephone_number": "970-368-3106",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "SAMANTHA",
"middle_name": "NICOLE",
"credential": "LPC, LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-06",
"last_updated": "2025-12-11",
"certification_date": "2025-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "LPC.0020628",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0020628",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frisco, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.