Individual provider Active NPI

Elayne Niki Sara Samarkos, MA-LMHC-LPC

  • Mental Health Counselor
  • New Port Richey, FL
National Provider Identifier
1609068543
Registry record updated Apr 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH-8995 Issued in FL
Practice address
8002 King Helie Blvd
New Port Richey, FL 34653-1435
Phone
(727) 841-4430
Fax
(727) 841-4436
NPI assigned
Aug 14, 2007
Last updated
Apr 13, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH-8995 FL Primary
Professional Counselor 101YP2500X 6830 NC

Addresses

Primary practice location

8002 King Helie Blvd
New Port Richey, FL 34653-1435

Mailing address

PO Box 428
New Port Richey, FL 34656
Phone (727) 841-4430

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

LicenseStateTypeSpecialty
MH-8995FLMDMental Health Counselor
6830NCMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271116800000",
    "number": "1609068543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "34656",
            "telephone_number": "727-841-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8002 KING HELIE BLVD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346531435",
            "telephone_number": "727-841-4430",
            "fax_number": "727-841-4436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMARKOS",
        "first_name": "ELAYNE",
        "middle_name": "NIKI SARA",
        "name_prefix": "Ms.",
        "credential": "MA-LMHC-LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-14",
        "last_updated": "2010-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH-8995",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "6830",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; 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.