Active NPI
Tonya Denise Samuels, LMFT
- Marriage & Family Therapist
- Clermont, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT001805
- Practice address
- 210 N Highway 27 Ste 4
Clermont, FL 34711-2411 - Phone
- (352) 708-6283
- NPI assigned
- Nov 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT001805 | GA | Primary |
Addresses
Primary practice location
210 N Highway 27 Ste 4
Clermont, FL 34711-2411
Mailing address
1557 Branden Way
Richmond Hill, GA 31324-6285
Phone (912) 549-0309
Other practice location 1
1557 Branden Way
Richmond Hill, GA 31324-6285
Phone (912) 549-0309
Other practice location 2
858 S Duncan Dr
Tavares, FL 32778-4044
Phone (352) 708-6283
Other practice location 3
9100 Conroy Windermere Rd Ste 206
Windermere, FL 34786-8431
Phone (352) 708-6283
Other practice location 4
1965 S Orange Blossom Trl
Apopka, FL 32703-7757
Phone (352) 708-6283
Other practice location 5
100 S Kentucky Ave
Lakeland, FL 33801-5096
Phone (352) 708-6283
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
210 N Hwy 27
Suite 4
Clermont, FL 34711-2411
Phone (352) 708-6283
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT001805 | GA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Life Counseling Center | Marriage & Family Therapist | Current | Accepting new patients |
| Pillars of Hope Counseling Services, LLC. | Current | Accepting new patients |
Locations
1965 S Orange Blossom Trl
Apopka, FL 32703
Phone (352) 462-0539
210 N US Highway 27
Ste 4
Clermont, FL 34711
Phone (352) 243-4800
100 S Kentucky Ave
Lakeland, FL 33801
Phone (352) 708-6283
858 S Duncan Dr
Tavares, FL 32778
Phone (352) 708-6283
9100 Conroy Windermere Rd
Ste 206
Windermere, FL 34786
Phone (352) 708-6283
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Clermont, FL
- NPI 1033665260
Marriage & Family Therapist
-
- Mental Health Counselor
- Richmond Hill, GA
- NPI 1649867847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720396800000",
"number": "1447855432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1557 BRANDEN WAY",
"city": "RICHMOND HILL",
"state": "GA",
"postal_code": "313246285",
"telephone_number": "912-549-0309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 N HIGHWAY 27 STE 4",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347112411",
"telephone_number": "352-708-6283"
}
],
"practiceLocations": [
{
"address_1": "1557 Branden Way",
"address_purpose": "LOCATION",
"city": "Richmond Hill",
"state": "GA",
"postal_code": "313246285",
"country_code": "US",
"telephone_number": "912-549-0309",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "858 S Duncan Dr",
"address_purpose": "LOCATION",
"city": "Tavares",
"state": "FL",
"postal_code": "327784044",
"country_code": "US",
"telephone_number": "352-708-6283",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9100 Conroy Windermere Rd Ste 206",
"address_purpose": "LOCATION",
"city": "Windermere",
"state": "FL",
"postal_code": "347868431",
"country_code": "US",
"telephone_number": "352-708-6283",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1965 S Orange Blossom Trl",
"address_purpose": "LOCATION",
"city": "Apopka",
"state": "FL",
"postal_code": "327037757",
"country_code": "US",
"telephone_number": "352-708-6283",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 S Kentucky Ave",
"address_purpose": "LOCATION",
"city": "Lakeland",
"state": "FL",
"postal_code": "338015096",
"country_code": "US",
"telephone_number": "352-708-6283",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAMUELS",
"first_name": "TONYA",
"middle_name": "DENISE",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-30",
"last_updated": "2024-07-08",
"certification_date": "2024-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "GA",
"license": "MFT001805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.