Individual provider Active NPI

Samantha Silverberg, LMHC

  • Mental Health Counselor
  • Waitsfield, VT
National Provider Identifier
1659618502
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
004998-1 Issued in NY
Practice address
515 E Warren Rd
Waitsfield, VT 05673-7310
Phone
(516) 779-9339
NPI assigned
Jan 12, 2013
Last updated
Dec 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Specialties & licenses 2

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

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

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
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

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, 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": "1357948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1659618502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E WARREN RD",
            "city": "WAITSFIELD",
            "state": "VT",
            "postal_code": "056737310",
            "telephone_number": "516-779-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E WARREN RD",
            "city": "WAITSFIELD",
            "state": "VT",
            "postal_code": "056737310",
            "telephone_number": "516-779-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVERBERG",
        "first_name": "SAMANTHA",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-12",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VT",
            "license": "097.0135353",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "004998-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waitsfield, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.