Abbey Lynn Wilcox-Samide, PCC-S

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E4238 Issued in OH

Practice address

20525 Center Ridge Rd
Ste. 520
Rocky River, OH 44116-3437

Phone

(216) 374-5888

NPI assigned

Jul 12, 2007

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

State licenses

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284768000000",
    "number": "1780883637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20525 CENTER RIDGE RD",
            "address_2": "STE. 520",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163437",
            "telephone_number": "216-374-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20525 CENTER RIDGE RD",
            "address_2": "STE. 520",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163437",
            "telephone_number": "216-374-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX-SAMIDE",
        "first_name": "ABBEY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2010-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E4238",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E4238",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Wheeler, LISW
• Sarah Whitesell, OTR/L
• Alissa S Wible, LISW-S
• Jenna Widman
• Alexa Anna Wiebusch, M.S. CCC-SLP
• William L Eick, D.D.S., Inc.
• Alexis Williams, LPCC, CRC, NCC
• Belinda F Williams
• Avril Michele Willoughby, CPRS
• Kandyce Ivory Wilson

• Mental Health Counselor in Rocky River, OH
• Providers in Rocky River, 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 18, 2010; 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.