SMF Therapy and Consultation Services, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SMF THERAPY AND CONSULTATION SERVICES, LLC

Practice address

110 South 2ND St
Colwyn, PA 19023

Phone

(484) 836-9016

NPI assigned

Jul 26, 2022

Last updated

Sep 16, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samantha Fowlkes, LPCNPI 1851059430

Title

Psychotherapist

Phone

(484) 836-9016

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samantha Fowlkes, LPC

  • Professional Counselor
  • Colwyn, PA
  • NPI 1851059430
  NPD Authorized official

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663286400000",
    "number": "1467188102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 BALTIMORE PIKE STE 1249",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190643810",
            "telephone_number": "484-836-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SOUTH 2ND ST",
            "city": "COLWYN",
            "state": "PA",
            "postal_code": "19023",
            "telephone_number": "484-836-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMF THERAPY AND CONSULTATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A",
        "authorized_official_last_name": "FOWLKES",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "484-836-9016",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Fowlkes, LPC
• Nikkol J Simms, M.S.OTRL

• Professional Counselor in Colwyn, PA
• Providers in Colwyn, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.

Verify at the official NPI Registry.