Individual provider Active NPI

Samantha Spagnuolo, LMHC

  • Professional Counselor
  • Middleton, MA
National Provider Identifier
1619394749
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8709 Issued in MA
Practice address
35 Village Rd Ste 100
Middleton, MA 01949-1238
Phone
(978) 222-9855
Fax
(978) 296-3460
NPI assigned
Mar 26, 2014
Last updated
May 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 8709 MA Primary

Addresses

Primary practice location

35 Village Rd Ste 100
Middleton, MA 01949-1238

Mailing address

35 Village Rd Ste 100
Middleton, MA 01949-1238
Phone (978) 222-9855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 27, 2025 through Mar 27, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8709MAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Samantha Spagnuolo, LMHC, LLC Current Accepting new patients

Locations

35 Village Rd
Ste 100
Middleton, MA 01949
Phone (978) 222-3131

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1619394749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 VILLAGE RD STE 100",
            "city": "MIDDLETON",
            "state": "MA",
            "postal_code": "019491238",
            "telephone_number": "978-222-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 VILLAGE RD STE 100",
            "city": "MIDDLETON",
            "state": "MA",
            "postal_code": "019491238",
            "telephone_number": "978-222-9855",
            "fax_number": "978-296-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAGNUOLO",
        "first_name": "SAMANTHA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MA",
            "license": "8709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleton, MA

Sources for this page

Verify at the official NPI Registry.