Samantha June Acosta

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

7967230-3904 Issued in UT

Practice address

12001 Q St
Omaha, NE 68137-3542

Phone

(402) 592-0328

NPI assigned

Dec 30, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: samanthaacosta@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

  Marriage & Family Therapist

  NPD
• Woodhaven Counseling Associates Inc

  • Clinical Psychologist
  • Omaha, NE
  • NPI 1013947290

  Marriage & Family Therapist

  NPD (past)

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

{
    "created_epoch": "1262131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1598095374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 391124",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681391124",
            "telephone_number": "435-238-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12001 Q ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681373542",
            "telephone_number": "402-592-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "SAMANTHA",
        "middle_name": "JUNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-30",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "7967230-3904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIMHP",
            "identifier": "1858",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Estela Acosta
• Lacey Marie Acosta
• Laura Acosta, PLMHP
• McKenzie J Acosta
• Nohemi J Acosta
• Melissa Acquazzino, M.D.
• Activate PT LLC
• Active Care Home Health, LLC
• Active Hearing Health
• Active Motion Chiropractic P.C.

• All providers in Omaha, NE
• Marriage & Family Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.