Individual provider Active NPI

Stephanie Sammarco, MA

  • Mental Health Counselor
  • Edison, NJ
National Provider Identifier
1588931083
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37PC00521000 Issued in NJ
Practice address
100 Menlo Park Ste 2052
Edison, NJ 08837-2428
Phone
(908) 858-5270
NPI assigned
Nov 28, 2011
Last updated
Mar 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X PC0000706 DE
Mental Health Counselor 101YM0800X 37PC00521000 NJ Primary

Addresses

Primary practice location

100 Menlo Park Ste 2052
Edison, NJ 08837-2428

Mailing address

100 Menlo Park Ste 2052
Edison, NJ 08837-2428
Phone (908) 858-5270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PC0000706DEMDMental Health Counselor
37PC00521000NJMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1588931083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MENLO PARK STE 2052",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372428",
            "telephone_number": "908-858-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MENLO PARK STE 2052",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372428",
            "telephone_number": "908-858-5270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMMARCO",
        "first_name": "STEPHANIE",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-28",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "PC0000706",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00521000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.