Samantha McCann

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

5620 112TH St E Ste 215
Puyallup, WA 98373-3206

Phone

(253) 446-7176

NPI assigned

Apr 29, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Sep 8, 2025 through Sep 8, 2027

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Green Coast Counseling PLLC

  • Mental Health Counselor
  • Seatac, WA
  • NPI 1487333969
  NPD Authorized official
• Bryce Wilson, PLLC

  • Mental Health Counselor
  • Puyallup, WA
  • NPI 1154770329
  NPD (past)

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

{
    "created_epoch": "1651190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1700521127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 112TH ST E STE 215",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733206",
            "telephone_number": "253-446-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 112TH ST E STE 215",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733206",
            "telephone_number": "253-446-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANN",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-29",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly J McBroom, O.T.
• Michelle Lynn McCabe, RCEP, CCRP
• David Brent McCaleb, MD
• Sara McCamman, DNP FNP-BC
• Jordan Ashley McCann, M.A.
• Joshua Forrest McCarthy
• Kayla A McCarthy
• Kimberly McCarthy, RN
• Scarlet Lenette McCarthy, LMP
• Nina Kim McClymont

• Mental Health Counselor in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.