Samantha Brooke Trease, MA, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E.2203118 Issued in OH

Practice address

335 Buckeye Blvd
Port Clinton, OH 43452-1423

Phone

(419) 734-2942

NPI assigned

Jan 10, 2019

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

Enrolled in OH

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

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oryxcare LLCGroup PAC ID 2062958838, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oryxcare LLC

  dba Healthy Minds Counseling

  • Social Worker
  • Fremont, OH
  • NPI 1083355192
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1750854808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 HAYES AVE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704737",
            "telephone_number": "419-557-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 BUCKEYE BLVD",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434521423",
            "telephone_number": "419-734-2942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREASE",
        "first_name": "SAMANTHA",
        "middle_name": "BROOKE",
        "credential": "MA, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-10",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2203118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wanda S Sutherland, INDEPENDENT PROVIDER
• Laura Tenney
• The Giving Tree, Inc.
• The Kroger Co (Kroger Pharmacy)
• Township of Erie Township Trustees (Erie Township Fire Dept and EMS)
• Natalie Twarek, R.N.
• United Church Homes, Inc., Dba the Parkvue Community on Catawba Island
• Unity Behavioral Health
• Bridgett Noel Urban, D.C.
• Mary Ellen Vallance

• Mental Health Counselor in Port Clinton, OH
• Providers in Port Clinton, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.