Active NPI
Allison Jo Samples, MA
- Mental Health Counselor
- Nitro, WV
National Provider Identifier
1437867736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 601 Williams Dr
Nitro, WV 25143-1536 - Phone
- (304) 553-2663
- NPI assigned
- Nov 7, 2022
- Last updated
- Nov 7, 2022
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
601 Williams Dr
Nitro, WV 25143-1536
Mailing address
1021 Quarrier St Ste 310
Charleston, WV 25301-2338
Phone (304) 513-3900
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | allisonsamples@mountaincarenetwork.com | Direct | Mountain Care Network |
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667779200000",
"number": "1437867736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 QUARRIER ST STE 310",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253012338",
"telephone_number": "304-513-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 WILLIAMS DR",
"city": "NITRO",
"state": "WV",
"postal_code": "251431536",
"telephone_number": "304-553-2663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMPLES",
"first_name": "ALLISON",
"middle_name": "JO",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-07",
"last_updated": "2022-11-07",
"certification_date": "2022-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "allisonsamples@mountaincarenetwork.com",
"affiliation": "Y",
"endpointDescription": "business email",
"affiliationName": "Mountain Care Network",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1021 Quarrier St Ste 310",
"city": "Charleston",
"state": "WV",
"country_code": "US",
"postal_code": "253012338",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Nitro, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.