Jodi Samuels, PHD, LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

14360 Issued in CA

Practice address

1112 Bright Glen Cir
Westlake Village, CA 91361-3319

Phone

(805) 490-9211

NPI assigned

Dec 26, 2020

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jodisamuels@tdh.allscriptsdirect.net

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.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Mental Health

  NPD

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

{
    "created_epoch": "1608940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608940800000",
    "number": "1558958470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 BRIGHT GLEN CIR",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913613319",
            "telephone_number": "805-490-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 BRIGHT GLEN CIR",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913613319",
            "telephone_number": "805-490-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELS",
        "first_name": "JODI",
        "credential": "PHD, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-26",
        "last_updated": "2020-12-26",
        "certification_date": "2020-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "14360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Saldana
• Jennifer Salerno, FNP
• Dana Michele Salisbury, FNP
• Sarah June Salva
• Samuel Hou, MD, PHD Inc.
• Nicole Sanada, P.T.
• Kimberlin Sue Sanchez
• Rachel Haley Sanders, DC
• Nicole Sandifer, MASTERS
• Amanda Marie Sandoval

• Mental Health Counselor in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2020; 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.