Active NPI
Samantha A.H. Kelley, LPC
- Counselor
- Albertville, AL
National Provider Identifier
1699173393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 3440
- Practice address
- 100 Andrew St # 2
Albertville, AL 35950-1971 - Phone
- (256) 239-5662
- NPI assigned
- Dec 11, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Community/Behavioral Health Agency | 251S00000X | 3440 | AL | |
| Counselor | 101Y00000X | 3440 | AL | Primary |
Addresses
Primary practice location
100 Andrew St # 2
Albertville, AL 35950-1971
Mailing address
319 Alabama 75
Suite B
Albertville, AL 35951
Phone (256) 660-0796
Other names 1
- Ms. Samantha A.H. Rhines
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3440 | AL | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Twindom Counseling Services, LLC | Mental Health | Past | Accepting new patients |
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.
-
- Mental Health Counselor
- Albertville, AL
- NPI 1124639935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1699173393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 ALABAMA 75",
"address_2": "SUITE B",
"city": "ALBERTVILLE",
"state": "AL",
"postal_code": "35951",
"telephone_number": "256-660-0796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 ANDREW ST # 2",
"city": "ALBERTVILLE",
"state": "AL",
"postal_code": "359501971",
"telephone_number": "256-239-5662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "SAMANTHA",
"middle_name": "A.H.",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-11",
"last_updated": "2024-01-08",
"certification_date": "2024-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "AL",
"license": "3440",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AL",
"license": "3440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMANTHA",
"last_name": "RHINES",
"middle_name": "A.H.",
"prefix": "MS.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Albertville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.