Matthew Richard Sampson, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC14093 Issued in MD

Practice address

4319 Medfield Ave
Baltimore, MD 21211-1681

Phone

(443) 622-8236

NPI assigned

Jan 31, 2019

Last updated

Aug 31, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1548892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1619431947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4319 MEDFIELD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212111681",
            "telephone_number": "443-622-8236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4319 MEDFIELD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212111681",
            "telephone_number": "443-622-8236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPSON",
        "first_name": "MATTHEW",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-31",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC14093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawnyelle Sample, CPHT
• James Ronald Sampognaro
• Cynthia Ruth Sampson, CRNA
• John Sampson, M.D.
• Khadijah Sampson
• Sarah Maria Sampson, CRNP
• Paula Sampugnaro, CCC-SLP
• Sams East Inc (Sams Pharmacy 10-6650)
• Sams Specs II
• Sams Specs Inc (Optical Fiar)

• Mental Health Counselor in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.