Samantha Joanne Santos, MA, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC00322900 Issued in NJ

Practice address

650 Bloomfield Ave
Bloomfield, NJ 07003-2512

Phone

(201) 981-2694

NPI assigned

Jul 10, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Samantha Rebelo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499644800000",
    "number": "1639691801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 N WOODSIDE AVE",
            "address_2": "2ND FLOOR",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "07644",
            "telephone_number": "201-981-2694",
            "fax_number": "201-981-2694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 BLOOMFIELD AVE",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032512",
            "telephone_number": "201-981-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "SAMANTHA",
        "middle_name": "JOANNE",
        "name_prefix": "Mrs.",
        "credential": "MA, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-10",
        "last_updated": "2017-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00322900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "REBELO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Sandoval, DMD
• Sarah Sant'Ambrogio
• Alicia Jean Sant'Angelo, LMT
• Krystal Santiago
• Divina Santos
• John J Sanzone, M.D.
• Olubunmi B Sasona
• Adnan Tabrez Savera, MD
• Morganne Marie Scancerella, PA-C
• Kedelyn Schiavetta-Mateo

• Mental Health Counselor in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2017; 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.