Active NPI
Samantha Pidgeon
- Mental Health Counselor
- Massapequa, NY
National Provider Identifier
1508374190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 010733
- Practice address
- #1089 5500 Sunrise Highway
Unit 50
Massapequa, NY 11758 - Phone
- (516) 908-6406
- NPI assigned
- Jan 17, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 010733 | NY | Primary |
Addresses
Primary practice location
#1089 5500 Sunrise Highway
Unit 50
Massapequa, NY 11758
Mailing address
#1089 5500 Sunrise Highway
Unit 50
Massapequa, NY 11758
Phone (516) 908-6406
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010733 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771372800000",
"number": "1508374190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "#1089 5500 SUNRISE HIGHWAY",
"address_2": "UNIT 50",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "11758",
"telephone_number": "516-908-6406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "#1089 5500 SUNRISE HIGHWAY",
"address_2": "UNIT 50",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "11758",
"telephone_number": "516-908-6406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIDGEON",
"first_name": "SAMANTHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-17",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "010733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Massapequa, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.