Individual provider Active NPI

Samantha Jade Sholar Cole

  • Professional Counselor
  • Ronda, NC
National Provider Identifier
1841001955
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
A20976 Issued in NC
Practice address
14072 Elkin Highway 268
Ronda, NC 28670-9199
Phone
(336) 827-0089
Fax
(844) 676-0500
NPI assigned
Jan 17, 2025
Last updated
Jan 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X A20976 NC Primary

Addresses

Primary practice location

14072 Elkin Highway 268
Ronda, NC 28670-9199

Mailing address

14072 Elkin Highway 268
Ronda, NC 28670-9199
Phone (336) 827-0089

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

LicenseStateTypeSpecialty
A20976NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aspen Mental Health Therapy and Consulting, PLLC CurrentSince Jan 19, 2025 Accepting new patients

Locations

14072 Elkin Highway 268
Ronda, NC 28670
Phone (336) 827-0089

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1737072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1841001955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14072 ELKIN HIGHWAY 268",
            "city": "RONDA",
            "state": "NC",
            "postal_code": "286709199",
            "telephone_number": "336-827-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14072 ELKIN HIGHWAY 268",
            "city": "RONDA",
            "state": "NC",
            "postal_code": "286709199",
            "telephone_number": "336-827-0089",
            "fax_number": "844-676-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "SAMANTHA",
        "middle_name": "JADE SHOLAR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A20976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronda, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.