Individual provider Active NPI

Samantha Todorovich, M.ED, LGPC

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1750026076
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LGP15497 Issued in MD
Practice address
565 Livonia Ave
Brooklyn, NY 11207-5209
Phone
(646) 465-5352
NPI assigned
May 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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 LGP15497 MD Primary

Addresses

Primary practice location

565 Livonia Ave
Brooklyn, NY 11207-5209

Mailing address

703 Cathedral St Ste 1R
Baltimore, MD 21201-5297
Phone (410) 302-9500

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 Education

State licenses

LicenseStateTypeSpecialty
LGP15497MDMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1750026076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 CATHEDRAL ST STE 1R",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015297",
            "telephone_number": "410-302-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 LIVONIA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112075209",
            "telephone_number": "646-465-5352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODOROVICH",
        "first_name": "SAMANTHA",
        "credential": "M.ED, LGPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-02",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP15497",
            "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 Mar 19, 2025; 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.