Active NPI
Samantha Brasfield, LPC/LCMHC
- Mental Health Counselor
- Brooklyn, NY
National Provider Identifier
1740842830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 14603
- Practice address
- 397 Bridge St FL 7
Brooklyn, NY 11201-5247 - Phone
- (917) 588-0252
- NPI assigned
- Jun 28, 2019
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A14603 | NC | |
| Mental Health Counselor | 101YM0800X | 4344 | AL | |
| Mental Health Counselor | 101YM0800X | LH61227159 | WA | |
| Mental Health Counselor | 101YM0800X | 14603 | NC | Primary |
Addresses
Primary practice location
397 Bridge St FL 7
Brooklyn, NY 11201-5247
Mailing address
156 5TH Ave # 260
New York, NY 10010-7002
Phone (917) 588-0252
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4344 | AL | MD | Mental Health Counselor |
| A14603 | NC | MD | Mental Health Counselor |
| LH61227159 | WA | MD | Mental Health Counselor |
| 14603 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alma Community Network | Mental Health | Current | Accepting new patients |
| Teladoc Health Medical Group, P.a. | Mental Health | Current | Accepting new patients |
Locations
397 Bridge St
Fl 7
Brooklyn, NY 11201
Phone (386) 299-6987
156 5th Ave
#260
New York, NY 10010
Interoperability endpoints
- samanthafernandez@tdh.allscriptsdirect.net
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.
-
- Mental Health Counselor
- Brooklyn, NY
- NPI 1427671437
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672099200000",
"number": "1740842830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "156 5TH AVE # 260",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100107002",
"telephone_number": "917-588-0252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "397 BRIDGE ST FL 7",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112015247",
"telephone_number": "917-588-0252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRASFIELD",
"first_name": "SAMANTHA",
"credential": "LPC/LCMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-28",
"last_updated": "2022-12-27",
"certification_date": "2022-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A14603",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AL",
"license": "4344",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH61227159",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "14603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.