Individual provider Active NPI

Neil M Sampson

  • Marriage & Family Therapist
  • Gig Harbor, WA
National Provider Identifier
1649537267
Registry record updated Mar 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF60329266 Issued in WA
Practice address
6626 Wagner Way NW Ste 200
Gig Harbor, WA 98335
Phone
(253) 858-2224
NPI assigned
Apr 20, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LF60329266 WA Primary

Addresses

Primary practice location

6626 Wagner Way NW Ste 200
Gig Harbor, WA 98335

Mailing address

6626 Wagner Way NW Ste 200
Gig Harbor, WA 98335-6904
Phone (253) 858-2224

Other practice location 1

1201 S Proctor St
Suite 3
Tacoma, WA 98405-2047
Phone (253) 399-6580

Other practice location 2

4700 Point Fosdick Dr NW Ste 319
Gig Harbor, WA 98335-1731
Phone (253) 358-0403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LF60329266WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sampson Therapy PLLC Marriage & Family Therapist CurrentSince Feb 24, 2022 Accepting new patients

Locations

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553385600000",
    "number": "1649537267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 WAGNER WAY NW STE 200",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983356904",
            "telephone_number": "253-858-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6626 WAGNER WAY NW STE 200",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "98335",
            "telephone_number": "253-858-2224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 S Proctor St",
            "address_2": "Suite 3",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984052047",
            "country_code": "US",
            "telephone_number": "253-399-6580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 Point Fosdick Dr NW Ste 319",
            "address_purpose": "LOCATION",
            "city": "Gig Harbor",
            "state": "WA",
            "postal_code": "983351731",
            "country_code": "US",
            "telephone_number": "253-358-0403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMPSON",
        "first_name": "NEIL",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-20",
        "last_updated": "2019-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF60329266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 24, 2019; 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.