Active NPI
Samantha Kimball, LPC
- Professional Counselor
- Pittsburgh, PA
National Provider Identifier
1821888348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC018540
- Practice address
- 250 Mount Lebanon Blvd
Ste 411
Pittsburgh, PA 15234-1249 - Phone
- (412) 553-3006
- NPI assigned
- May 8, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC018540 | PA | Primary |
Addresses
Primary practice location
250 Mount Lebanon Blvd
Ste 411
Pittsburgh, PA 15234-1249
Mailing address
250 Mount Lebanon Blvd
Ste 411
Pittsburgh, PA 15234-1249
Phone (412) 553-3006
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PC018540 | Other | PA | STATE LIC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PC018540 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785283200000",
"number": "1821888348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 MOUNT LEBANON BLVD",
"address_2": "STE 411",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152341249",
"telephone_number": "412-553-3006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 MOUNT LEBANON BLVD",
"address_2": "STE 411",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152341249",
"telephone_number": "412-553-3006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMBALL",
"first_name": "SAMANTHA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-08",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC018540",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LIC",
"identifier": "PC018540",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.