Individual provider Active NPI

Samantha Daly Martin, MA, LPC, NCC, CADC

  • Mental Health Counselor
  • Pittston, PA
National Provider Identifier
1821709742
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC018417 Issued in PA
Practice address
49 S Main St Ste 103
Pittston, PA 18640-1702
Phone
(570) 592-5818
NPI assigned
Dec 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC018417 PA Primary

Addresses

Primary practice location

49 S Main St Ste 103
Pittston, PA 18640-1702

Mailing address

201 Alicia St
Old Forge, PA 18518-1903
Phone (570) 592-5818

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PC018417PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
MBS Counseling, LLC. Mental Health CurrentSince Aug 25, 2025 Accepting new patients
Empoweru Counseling LLC Mental Health Current Accepting new patients
Scott D Carey, Ma, LPC, NCC, Cadc Mental Health PastSince Jan 5, 2025 Accepting new patients

Locations

49 S Main St
Ste 103
Pittston, PA 18640
Phone (272) 422-1264

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1821709742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 ALICIA ST",
            "city": "OLD FORGE",
            "state": "PA",
            "postal_code": "185181903",
            "telephone_number": "570-592-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 S MAIN ST STE 103",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186401702",
            "telephone_number": "570-592-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "SAMANTHA",
        "middle_name": "DALY",
        "credential": "MA, LPC, NCC, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC018417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittston, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.