Active NPI
Samantha Ann Ginsburg, MS, IMH13697
- Mental Health Counselor
- Orlando, FL
National Provider Identifier
1710432703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMH13697
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| IMH13697 | FL | MD | Mental 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.