Active NPI
Samantha Newham, ATC, LPC
- Mental Health Counselor
- Dayton, OH
National Provider Identifier
1578294070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C.2405716
- Practice address
- 101 Peppervine Cir
Dayton, OH 45431-6414 - Phone
- (623) 692-4152
- NPI assigned
- Jun 23, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | ATR-001420 | AZ | |
| Mental Health Counselor | 101YM0800X | C.2405716 | OH | Primary |
Addresses
Primary practice location
101 Peppervine Cir
Dayton, OH 45431-6414
Mailing address
101 Peppervine Cir
Dayton, OH 45431-6414
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.2405716 | OH | MD | Mental Health Counselor |
| ATR-001420 | AZ | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706400000000",
"number": "1578294070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 PEPPERVINE CIR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454316414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 PEPPERVINE CIR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454316414",
"telephone_number": "623-692-4152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWHAM",
"first_name": "SAMANTHA",
"credential": "ATC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-23",
"last_updated": "2024-01-28",
"certification_date": "2024-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AZ",
"license": "ATR-001420",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C.2405716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.