Samantha L Endicott, M.ED., LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

174121 Issued in KY

Practice address

101 Wind Haven Dr Ste 202
Nicholasville, KY 40356-8036

Phone

(859) 618-9569

NPI assigned

Sep 18, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519603200000",
    "number": "1760818090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WIND HAVEN DR STE 202",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403568036",
            "telephone_number": "859-618-9569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WIND HAVEN DR STE 202",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403568036",
            "telephone_number": "859-618-9569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDICOTT",
        "first_name": "SAMANTHA",
        "middle_name": "L",
        "credential": "M.ED., LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-18",
        "last_updated": "2018-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "62507",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "174121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Minette Eckmann
• Brittany Elizabeth Eden, M.S., CCC-SLP
• Rita M Egan, M.D.
• Krista M Elkins, APRN
• Margaret Elkins, LPCC
• Daniel Kevin Epperly, APRN
• Eric F Huffman DMD PSC
• Erin McGuire, LCSW
• Andrea Esau, DC
• Kay M Eschelbach, DMD

• Mental Health Counselor in Nicholasville, KY
• Providers in Nicholasville, KY by specialty
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2018; 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.