Cheryl Samuels Campbell, EDD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC4695 Issued in MD

Practice address

12501 Prosperity Dr Ste 235
Silver Spring, MD 20904-1650

Phone

(434) 533-5901

NPI assigned

Mar 26, 2019

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

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Thrive Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • Silver Spring, MD
  • NPI 1306396163
  NPD (past)

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1730640418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 PROSPERITY DR STE 235",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041650",
            "telephone_number": "434-533-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 PROSPERITY DR STE 235",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041650",
            "telephone_number": "434-533-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELS CAMPBELL",
        "first_name": "CHERYL",
        "name_prefix": "Dr.",
        "credential": "EDD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC4695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Sampson, MA, CCC-SLP
• Richard James Samsky
• Abel Saba Samson
• Carmela Samson
• Samuel G. Maller M.D., P.C.
• Tene Nguenkep Samuto
• Sana P. Augustus, DDS, PC
• Ivette Sanchez-Carbo, PH.D
• Diamina Sanchez-Paulino, RN
• Aracely Sanchez, BEHAVIORALTECHNICIAN

• Mental Health Counselor in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.

Verify at the official NPI Registry.