Mary Elizabeth Anne Samsel, MA

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

5422 Clinton Blvd
Jackson, MS 39209-3050

Phone

(601) 923-1644

NPI assigned

May 31, 2022

Last updated

May 31, 2022By the provider in NPPES

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1831838788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4945 CLINTON TINNIN RD",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390569424",
            "telephone_number": "601-665-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5422 CLINTON BLVD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392093050",
            "telephone_number": "601-923-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMSEL",
        "first_name": "MARY",
        "middle_name": "ELIZABETH ANNE",
        "name_prefix": "Miss",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriella Sampson
• Lawrence Douglas Sampson Jr.
• Shaquita Sampson
• Fnu Samra Mariyam
• Hanna Laura Sams, MD
• Samuel Floyd Brown MD
• Brigette Sanabia
• Padmaja Sanapureddy
• Oriana Sanchez, MD
• Amy Blaine Sanders, RN

• Counselor in Jackson, MS
• Providers in Jackson, MS by specialty
• Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.