Samantha Wurst, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

24 Lees Ave
Collingswood, NJ 08108-2070

Phone

(865) 834-3709

NPI assigned

Jul 2, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Mind Body Soul Wellness Center LLC

  • Professional Counselor
  • Collingswood, NJ
  • NPI 1487152542
  NPD (past)

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1831751528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 LEES AVE",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081082070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 LEES AVE",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081082070",
            "telephone_number": "865-834-3709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WURST",
        "first_name": "SAMANTHA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail Wilson
• Mieczyslaw Witek, MSN,CRNP
• Erin Mary Wojcik, LSW
• Ryan Samuel Wooden, NP
• Ashley D Wright, BOCO
• Sue Yang-Novellino
• Marc Young, MD
• Stacy Zemon
• Lindsay Taylor Zogheb
• Fucheng Zou

• Mental Health Counselor in Collingswood, NJ
• Providers in Collingswood, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.