NPIMap

Organization Active NPI

Sampson Therapy PLLC

  • Marriage & Family Therapist
  • Gig Harbor, WA
National Provider Identifier
1639824147
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
SAMPSON THERAPY PLLC
Practice address
6626 Wagner Way Ste 200
Gig Harbor, WA 98335-6904
Phone
(253) 220-7833
NPI assigned
Feb 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Authorized official

Name
Mr. Neil M SampsonNPI 1649537267
Title
Owner
Phone
(253) 220-7833

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

6626 Wagner Way Ste 200
Gig Harbor, WA 98335-6904

Mailing address

12801 118TH Ave NW
Gig Harbor, WA 98329-5681
Phone (253) 220-7833

Other names 1

  • Sampson Therapy PLLC Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://secure.simplepractice.com/users/sign_in

National Provider Directory

National Provider Directory

Locations

6626 Wagner Way
Ste 200
Gig Harbor, WA 98335
Phone (253) 220-7833

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644796800000",
    "number": "1639824147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12801 118TH AVE NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983295681",
            "telephone_number": "253-220-7833",
            "fax_number": "253-393-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6626 WAGNER WAY STE 200",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983356904",
            "telephone_number": "253-220-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMPSON THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A",
        "authorized_official_last_name": "SAMPSON",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-220-7833",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://secure.simplepractice.com/users/sign_in",
            "affiliation": "N",
            "address_1": "6626 Wagner Way Ste 200",
            "city": "Gig Harbor",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983356904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Sampson Therapy PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.