Individual provider Active NPI

Samantha Michelle Purcell

  • Counselor
  • Columbus, OH
National Provider Identifier
1548833437
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
C.2305687 Issued in OH
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

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 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

State licenses

LicenseStateTypeSpecialty
C.2305687OHMDCounselor
RBT-21-175947KYMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Excel ABA, LLC CurrentSince Jul 1, 2021 Accepting new patients
Open Arms Counseling, LLC PastSince Jan 7, 2024 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.

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.

Verify at the official NPI Registry.