Samantha Shtofman, ATR-BC, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC012939 Issued in PA

Practice address

PO Box 5624
Philadelphia, PA 19129-0624

Phone

(267) 536-9493

NPI assigned

May 9, 2021

Last updated

Jan 2, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Samantha Baggott Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1620518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1598349201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5624",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191290624",
            "telephone_number": "267-536-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 5624",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191290624",
            "telephone_number": "267-536-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHTOFMAN",
        "first_name": "SAMANTHA",
        "credential": "ATR-BC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-09",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC012939",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC012939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "BAGGOTT",
            "credential": "ATR-BC, LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Shrosbree, MD
• Pascuala Shroyer, LAPC
• Glenn Tanner Shrum, LPC
• Lior Shtayer, MD
• Jack Williams Shteamer, M.D.
• Julie Paige Shtraks, M.D.
• George Shu
• Sabrina Shu, PA-C
• Gal Shua-Haim
• Julie L Shubert, CRNP

• Mental Health Counselor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.