Samantha Ross, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SAMANTHA ROSS, LLC

Practice address

5257 Buckeystown Pike
Ste 300
Frederick, MD 21704-7535

Phone

(240) 285-9624

NPI assigned

Aug 28, 2020

Organization subpart

No

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

Authorized official

Name

Samantha Ross, LPC

Title

Owner

Phone

(240) 285-9624

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1497368666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5257 BUCKEYSTOWN PIKE STE 300",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217047535",
            "telephone_number": "240-285-9624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5257 BUCKEYSTOWN PIKE",
            "address_2": "STE 300",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217047535",
            "telephone_number": "240-285-9624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMANTHA ROSS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-285-9624",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.