Samantha Silverberg, LMHC

Individual provider Active NPI Mental Health Counselor · Waitsfield, VT

NPI 1659618502 · NPPES record last updated Dec 26, 2023

Key facts

NPI
1659618502
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
004998-1 (NY)
Practice address
515 E Warren Rd
Waitsfield, VT 05673-7310
Phone
(516) 779-9339
NPI assigned
Jan 12, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
097.0135353VTMDCounselor
004998-1NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mid- Island Y JCC Past Accepting new patients
Mid-Island Y Jewish Community Center, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 097.0135353 VT
Mental Health Counselor 101YM0800X 004998-1 NY Yes

Addresses

Primary practice location

515 E Warren Rd
Waitsfield, VT 05673-7310

Mailing address

515 E Warren Rd
Waitsfield, VT 05673-7310
Phone (516) 779-9339

Other providers in Waitsfield, VT

All providers in Waitsfield, VT · Mental Health Counselor in Vermont

Sources for this page

Verify at the official NPI Registry.