Active NPI
Samantha Anne Williams
- Mental Health Counselor
- Saint Louis, MO
National Provider Identifier
1750140505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC61542687
- Practice address
- 100 S 4TH St Ste 560
Saint Louis, MO 63102-1800 - Phone
- (425) 202-5171
- NPI assigned
- Mar 14, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MC61542687 | WA | Primary |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
100 S 4TH St Ste 560
Saint Louis, MO 63102-1800
Mailing address
100 N Howard St Ste W
Spokane, WA 99201-0508
Phone (425) 202-5171
Other practice location 1
123 NW 36th St Ste 210
Seattle, WA 98107-4959
Phone (206) 402-5767
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 |
|---|---|---|---|
| MC61542687 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Therapy Group PC | Mental Health | Current | Accepting new patients |
| Lenz LPC LLC | Past | Accepting new patients |
Locations
123 NW 36th St
Ste 210
Seattle, WA 98107
Phone (206) 329-2050
Interoperability endpoints
- samantha.williams@489656322949124.direct.elationemr.com
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.
-
- Professional Counselor
- Saint Louis, MO
- NPI 1700467776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777334400000",
"number": "1750140505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N HOWARD ST STE W",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992010508",
"telephone_number": "425-202-5171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S 4TH ST STE 560",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631021800",
"telephone_number": "425-202-5171"
}
],
"practiceLocations": [
{
"address_1": "123 NW 36th St Ste 210",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981074959",
"country_code": "US",
"telephone_number": "206-402-5767",
"fax_number": "425-640-9600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "SAMANTHA",
"middle_name": "ANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-14",
"last_updated": "2026-04-28",
"certification_date": "2026-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC61542687",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.