Active NPI
Samantha Michelle Purcell
- Counselor
- Columbus, OH
National Provider Identifier
1548833437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- C.2305687
- Practice address
- 580 S High St Ste 220
Columbus, OH 43215-5644 - Phone
- (614) 625-7183
- NPI assigned
- Jul 20, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-21-175947 | KY | |
| Counselor | 101Y00000X | C.2305687 | OH | Primary |
Addresses
Primary practice location
580 S High St Ste 220
Columbus, OH 43215-5644
Mailing address
354 Frankfort SQ
Columbus, OH 43206-1061
Phone (606) 560-1252
Other practice location 1
408 Michelle Ct
Richmond, KY 40475-8449
Phone (859) 940-3510
Other names 1
- Samantha Estes
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 |
|---|---|---|---|
| C.2305687 | OH | MD | Counselor |
| RBT-21-175947 | KY | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excel ABA, LLC | Current | Accepting new patients | |
| Open Arms Counseling, LLC | Past | Accepting new patients |
Locations
408 Michelle Ct
Richmond, KY 40475
Phone (859) 575-4442
Organizations & group practices 2
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.
-
- Behavior Analyst
- Richmond, KY
- NPI 1174946529
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Columbus, OH
- NPI 1639596224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704153600000",
"number": "1548833437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "354 FRANKFORT SQ",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432061061",
"telephone_number": "606-560-1252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 S HIGH ST STE 220",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432155644",
"telephone_number": "614-625-7183"
}
],
"practiceLocations": [
{
"address_1": "408 Michelle Ct",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "KY",
"postal_code": "404758449",
"country_code": "US",
"telephone_number": "859-940-3510",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PURCELL",
"first_name": "SAMANTHA",
"middle_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-20",
"last_updated": "2024-01-02",
"certification_date": "2024-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "KY",
"license": "RBT-21-175947",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "C.2305687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMANTHA",
"last_name": "ESTES",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.