Individual provider Active NPI

Samantha L Clapper, MS, LCDP

  • Addiction (Substance Use Disorder) Counselor
  • Providence, RI
National Provider Identifier
1700544426
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CDP00909 Issued in RI
Practice address
528 N Main St
Providence, RI 02904
Phone
(401) 276-4020
NPI assigned
Nov 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CDP00909 RI Primary

Addresses

Primary practice location

528 N Main St
Providence, RI 02904

Mailing address

300 Toll Gate Rd Ste 300
Warwick, RI 02886-4416
Phone (401) 467-0333

Other practice location 1

300 Toll Gate Rd Ste 300
Warwick, RI 02886-4416
Phone (401) 467-0333

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
CDP00909RIMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Child and Family Psychiatry, Inc. CurrentSince Apr 26, 2024 Accepting new patients
Bridgemark, Inc PastSince Dec 1, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.samanthanorthup@151046.advancedmd-direct.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1700544426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 TOLL GATE RD STE 300",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864416",
            "telephone_number": "401-467-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02904",
            "telephone_number": "401-276-4020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Toll Gate Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028864416",
            "country_code": "US",
            "telephone_number": "401-467-0333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAPPER",
        "first_name": "SAMANTHA",
        "middle_name": "L",
        "credential": "MS, LCDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2023-12-20",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "RI",
            "license": "CDP00909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.