Individual provider Active NPI

Samara Marie Rubio, LPC

  • Counselor
  • Bethlehem, PA
National Provider Identifier
1487598967
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
PC020272 Issued in PA
Practice address
95 Highland Ave Ste 301
Bethlehem, PA 18017-9435
Phone
(610) 849-0413
NPI assigned
Apr 16, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X PC020272 PA Primary

Addresses

Primary practice location

95 Highland Ave Ste 301
Bethlehem, PA 18017-9435

Mailing address

280 Shady Oaks Dr E
Saylorsburg, PA 18353-8104
Phone (570) 688-7103

Other names 1

  • Samara Marie Gallagher Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20260529001597 PA Practitioner - Mental Health Counselor 0749750818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Liberty Univ College of Osteopathic Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intentional Counseling and Wellness, LLCGroup PAC ID 1759811920, 8 clinicians

Practice addresses (Care Compare)

95 Highland Ave
Suite 301
Bethlehem, PA 18017-9435
Phone (610) 849-0413

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC020272PAMDCounselor

Organizations & group practices 1

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": "1776297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1487598967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 SHADY OAKS DR E",
            "city": "SAYLORSBURG",
            "state": "PA",
            "postal_code": "183538104",
            "telephone_number": "570-688-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 HIGHLAND AVE STE 301",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180179435",
            "telephone_number": "610-849-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIO",
        "first_name": "SAMARA",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-16",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC020272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMARA",
            "last_name": "GALLAGHER",
            "middle_name": "MARIE",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.