Active NPI
Susan Samek, LCAT, LPC
- Professional Counselor
- Honesdale, PA
National Provider Identifier
1497767305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC012870
- Practice address
- 922 Church St Ste 3
Honesdale, PA 18431-1921 - Phone
- (516) 528-8839
- NPI assigned
- Aug 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC012870 | PA | Primary |
| Art Therapist | 221700000X | 000066 | NY |
Addresses
Primary practice location
922 Church St Ste 3
Honesdale, PA 18431-1921
Mailing address
35 Hickory LN
Narrowsburg, NY 12764-5905
Phone (845) 252-5022
Other practice location 1
35 Hickory Ln
Narrowsburg, NY 12764-5905
Phone (845) 252-5022
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC012870 | PA | MD | Professional Counselor |
| 000066 | NY | MD | Art Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607817600000",
"number": "1497767305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 HICKORY LN",
"city": "NARROWSBURG",
"state": "NY",
"postal_code": "127645905",
"telephone_number": "845-252-5022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "922 CHURCH ST STE 3",
"city": "HONESDALE",
"state": "PA",
"postal_code": "184311921",
"telephone_number": "516-528-8839"
}
],
"practiceLocations": [
{
"address_1": "35 Hickory Ln",
"address_purpose": "LOCATION",
"city": "Narrowsburg",
"state": "NY",
"postal_code": "127645905",
"country_code": "US",
"telephone_number": "845-252-5022",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAMEK",
"first_name": "SUSAN",
"name_prefix": "Ms.",
"credential": "LCAT, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-12",
"last_updated": "2020-12-13",
"certification_date": "2020-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC012870",
"primary": true
},
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "NY",
"license": "000066",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honesdale, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.