Individual provider Active NPI

Samantha Ciambro, MS

  • Mental Health Counselor
  • West Chester, OH
National Provider Identifier
1639693880
Registry record updated Oct 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
8050 Beckett Center Dr
West Chester, OH 45069-5017
Phone
(513) 463-1804
NPI assigned
Jul 31, 2017
Last updated
Oct 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2022

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 Primary
Professional Counselor 101YP2500X OH

Addresses

Primary practice location

8050 Beckett Center Dr
West Chester, OH 45069-5017

Mailing address

8050 Beckett Center Dr Ste 105
West Chester, OH 45069-5019
Phone (513) 463-1804

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.samanthaciambrocounseling.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 29, 2024 through Oct 29, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Samantha Ciambro, LLC CurrentSince Jan 1, 2021 Accepting new patients

Locations

8050 Beckett Center Dr
Ste 105
West Chester, OH 45069
Phone (513) 463-1804

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": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665878400000",
    "number": "1639693880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8050 BECKETT CENTER DR STE 105",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450695019",
            "telephone_number": "513-463-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 BECKETT CENTER DR",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450695017",
            "telephone_number": "513-463-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIAMBRO",
        "first_name": "SAMANTHA",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-31",
        "last_updated": "2022-10-16",
        "certification_date": "2022-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.samanthaciambrocounseling.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "address_1": "8050 Beckett Center Dr Ste 105",
            "city": "West Chester",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450695019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

Verify at the official NPI Registry.