Individual provider Active NPI

Samara Naila Schneider, MSW

  • Mental Health Counselor
  • Saint Petersburg, FL
National Provider Identifier
1487372009
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
500 Trinity LN N Apt 4105
Saint Petersburg, FL 33716-1228
Phone
(813) 609-9412
NPI assigned
Aug 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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 Primary

Addresses

Primary practice location

500 Trinity LN N Apt 4105
Saint Petersburg, FL 33716-1228

Mailing address

8633 Leighton Dr
Tampa, FL 33614-1723
Phone (813) 609-9412

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL N/A Brave Health Inc.

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

NPI Registry JSON

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1487372009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8633 LEIGHTON DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141723",
            "telephone_number": "813-609-9412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 TRINITY LN N APT 4105",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337161228",
            "telephone_number": "813-609-9412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "SAMARA",
        "middle_name": "NAILA",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "N/A",
            "affiliation": "Y",
            "endpointDescription": "N/A",
            "affiliationName": "Brave Health Inc.",
            "address_1": "1951 NW 7th Ave",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331361104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.