Samuel Lee, M.S.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LGP9754 Issued in MD

Practice address

1003 W 7TH St Ste 403
Frederick, MD 21701-8532

Phone

(240) 586-9878

NPI assigned

Jun 16, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dagenhart Health and Wellness, LLCGroup PAC ID 2365817582, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Dagenhart Health and Wellness, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Frederick, MD
  • NPI 1912336736
  Medicare reassignment Care Compare group NPD
• Vantage Point Counseling LLC

  • Mental Health Counselor
  • Monrovia, MD
  • NPI 1063234441
  NPD Authorized official

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1508434440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3956 BRAVEHEART CIR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217047743",
            "telephone_number": "240-586-9878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 W 7TH ST STE 403",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217018532",
            "telephone_number": "240-586-9878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SAMUEL",
        "name_prefix": "Mr.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP9754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jim Ming-an Lee, MPH, DDS, MS
• Joan Wai-Chung Lee, MD
• Katie Lee, MS
• Kwok C. Lee, MD
• Ryan C Lee, LGPC
• Stephen Herng-Shiu Lee, M.D.
• Victoria Kyin Lee
• Yeung W Lee, MD
• Jessica Leer, M.S.
• Legacy Psychotherapy LLC

• Mental Health Counselor in Frederick, MD
• Providers in Frederick, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.