Individual provider Active NPI

Samantha Wright, MA, LPC

  • Mental Health Counselor
  • Falls Church, VA
National Provider Identifier
1477945970
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3015 Nicosh Cir
Falls Church, VA 22042-1235
Phone
(703) 828-5699
NPI assigned
Feb 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X DC Primary

Addresses

Primary practice location

3015 Nicosh Cir
Falls Church, VA 22042-1235

Mailing address

4106 Via del Rey
Oceanside, CA 92057-6474
Phone (703) 828-5699

Other practice location 1

3924 Minnesota Ave NE
Washington, DC 20019-2661
Phone (202) 398-8683

Other practice location 2

1060 Estes St
El Cajon, CA 92020-7411
Phone (619) 440-5133 ext. 214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250807003407 CA Practitioner - Mental Health Counselor 2567960719 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
4607CAMDClinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Grounded Roots Psychotherapy Mental Health CurrentSince Sep 17, 2023 Accepting new patients
Meridian Counseling CurrentSince Jun 1, 2025 Accepting new patients

Locations

11835 W Olympic Blvd
Ste 815E
Los Angeles, CA 90064
Phone (323) 332-9905

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.

NPI Registry JSON

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

{
    "created_epoch": "1424476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1477945970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4106 VIA DEL REY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920576474",
            "telephone_number": "703-828-5699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 NICOSH CIR",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421235",
            "telephone_number": "703-828-5699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3924 Minnesota Ave NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200192661",
            "country_code": "US",
            "telephone_number": "202-398-8683",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1060 Estes St",
            "address_purpose": "LOCATION",
            "city": "El Cajon",
            "state": "CA",
            "postal_code": "920207411",
            "country_code": "US",
            "telephone_number": "619-440-5133 x214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "SAMANTHA",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-21",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.