Individual provider Active NPI

Samantha Jayne Rich, MA

  • Mental Health Counselor
  • Cheney, WA
National Provider Identifier
1508357955
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
513 1St St
Cheney, WA 99004-1651
Phone
(702) 577-1119
NPI assigned
May 22, 2018
Last updated
Sep 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary
Rehabilitation Practitioner 225400000X NU

Addresses

Primary practice location

513 1St St
Cheney, WA 99004-1651

Mailing address

10005 W Richland Rd
Cheney, WA 99004-8653
Phone (425) 577-3844

Other practice location 1

10005 W Richland Rd
Cheney, WA 99004-8653
Phone (702) 577-1119

Other names 1

  • Samantha Jayne Thorpe Former name

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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Resilient Rise PLLC Mental Health CurrentSince Sep 10, 2023 Accepting new patients

Locations

513 1st St
Cheney, WA 99004
Phone (509) 800-7773

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1508357955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10005 W RICHLAND RD",
            "city": "CHENEY",
            "state": "WA",
            "postal_code": "990048653",
            "telephone_number": "425-577-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 1ST ST",
            "city": "CHENEY",
            "state": "WA",
            "postal_code": "990041651",
            "telephone_number": "702-577-1119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10005 W Richland Rd",
            "address_purpose": "LOCATION",
            "city": "Cheney",
            "state": "WA",
            "postal_code": "990048653",
            "country_code": "US",
            "telephone_number": "702-577-1119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICH",
        "first_name": "SAMANTHA",
        "middle_name": "JAYNE",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-22",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "THORPE",
            "middle_name": "JAYNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cheney, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.