Kendra Lynn Sampson, MS, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

201 Lackawanna Ave Unit 316
Scranton, PA 18503-1953

Phone

(570) 766-0772

NPI assigned

Apr 5, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Mental Health Counselor

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Puglisi Counseling LLC

  • Clinical Social Worker
  • Scranton, PA
  • NPI 1760140784
  NPD

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

{
    "created_epoch": "1712275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1457104994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 THOMPSON ST",
            "city": "DALTON",
            "state": "PA",
            "postal_code": "184148005",
            "telephone_number": "570-955-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LACKAWANNA AVE UNIT 316",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031953",
            "telephone_number": "570-766-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPSON",
        "first_name": "KENDRA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MS, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-05",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Verna Mae Saleski, FAMILY NURSE PRACTIT
• Sydney Salone
• Anthony Joseph Salva
• Jordan Christopher Salvato, MD
• Sam'S Club Optical
• Deepinder Samra, MD
• Sams East Inc
• Kaylene Samsell, CRNA
• Sanatan Home Care LLC
• Sander J. Levinson, M.D. PC

• Mental Health Counselor in Scranton, PA
• Providers in Scranton, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.

Verify at the official NPI Registry.