Samantha Riden, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

068.0134915 Issued in VT

Practice address

277 Blair Park Rd Ste 210
Williston, VT 05495-7885

Phone

(802) 345-5343

NPI assigned

Oct 26, 2022

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

Other names 1

• Samantha Tuepker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 16, 2024 through Apr 16, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1801513213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 MEADOW LN",
            "city": "UNDERHILL",
            "state": "VT",
            "postal_code": "054899229",
            "telephone_number": "802-345-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 BLAIR PARK RD STE 210",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054957885",
            "telephone_number": "802-345-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDEN",
        "first_name": "SAMANTHA",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-26",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0134915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "TUEPKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sean Billings Remillard
• Marilyn Jean Renaudette, M.A.
• Nancy Irene Resi, FNP
• Ashley Nicole Richardson
• Kathryn Rick, PH.D.
• Warren Rinehart, M.D.
• Rite Aid
• Alissa C Robertson, M.S., R.D.
• Taylor Robichaud
• Jessica J Rodd, LICSW

• Mental Health Counselor in Williston, VT
• Providers in Williston, VT by specialty
• Mental Health Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.