Samantha Kostopoulos, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

008475 Issued in NY

Practice address

7 Allen Dr
Locust Valley, NY 11560-1201

Phone

(516) 404-6950

NPI assigned

Jun 2, 2020

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1730703042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2061 23RD ST FL 1",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111053245",
            "telephone_number": "929-314-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 ALLEN DR",
            "city": "LOCUST VALLEY",
            "state": "NY",
            "postal_code": "115601201",
            "telephone_number": "516-404-6950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTOPOULOS",
        "first_name": "SAMANTHA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-02",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "008475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Janine Marie Lawrence, REGISTERED NURSE
• Julia Leask, RD, CDN, MS
• Clara Lee, D.O.

• Mental Health Counselor in Locust Valley, NY
• Providers in Locust Valley, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.