Individual provider Active NPI

Samantha B. Mahon, LPC

  • Mental Health Counselor
  • Apex, NC
National Provider Identifier
1790129799
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10542 Issued in NC
Practice address
800 W Williams St
Suite 231-C
Apex, NC 27502-5203
Phone
(919) 412-5685
NPI assigned
Apr 20, 2013
Last updated
Oct 15, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10542 NC Primary
Mental Health Counselor 101YM0800X 10543 NC
Professional Counselor 101YP2500X 10542 NC

Addresses

Primary practice location

800 W Williams St
Suite 231-C
Apex, NC 27502-5203

Mailing address

800 W Williams St Ste 280
Apex, NC 27502-5203
Phone (919) 412-5685

Other practice location 1

200 Sanford Rd Ste 2
Pittsboro, NC 27312-5683
Phone (919) 335-3105

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

LicenseStateTypeSpecialty
10543NCMDGeriatric Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Professional Group Mental Health Current Accepting new patients

Locations

800 W Williams St
Ste 231C
Apex, NC 27502
Phone (919) 412-5685

800 W Williams St
Ste 280
Apex, NC 27502
Phone (919) 307-6551

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1366416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1790129799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W WILLIAMS ST STE 280",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275025203",
            "telephone_number": "919-412-5685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W WILLIAMS ST",
            "address_2": "SUITE 231-C",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275025203",
            "telephone_number": "919-412-5685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Sanford Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Pittsboro",
            "state": "NC",
            "postal_code": "273125683",
            "country_code": "US",
            "telephone_number": "919-335-3105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHON",
        "first_name": "SAMANTHA",
        "middle_name": "B.",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-20",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "10542",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "10543",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "10542",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.