Individual provider Active NPI

Samantha Ann Ginsburg, MS, IMH13697

  • Mental Health Counselor
  • Orlando, FL
National Provider Identifier
1710432703
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH13697 Issued in FL
Practice address
5728 Major Blvd
Suite 506
Orlando, FL 32819-7945
Phone
(772) 643-4023
NPI assigned
Aug 18, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH13697 FL Primary

Addresses

Primary practice location

5728 Major Blvd
Suite 506
Orlando, FL 32819-7945

Mailing address

11730 Cranbourne Dr
Orlando, FL 32837-5756
Phone (772) 643-4023

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
IMH13697FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471478400000",
    "number": "1710432703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11730 CRANBOURNE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328375756",
            "telephone_number": "772-643-4023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5728 MAJOR BLVD",
            "address_2": "SUITE 506",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197945",
            "telephone_number": "772-643-4023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINSBURG",
        "first_name": "SAMANTHA",
        "middle_name": "ANN",
        "credential": "MS, IMH13697",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-18",
        "last_updated": "2016-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH13697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.