Active NPI
Samantha Christine Cunningham, LMHC, LPC
- Mental Health Counselor
- Ridgefield, WA
National Provider Identifier
1841697604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- L60630652
- Practice address
- 2 S 56TH PL Ste 201D
Ridgefield, WA 98642-3427 - Phone
- (360) 342-4863
- NPI assigned
- Nov 21, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CG60508150 | WA | |
| Marriage & Family Therapist | 106H00000X | CG60508150 | WA | |
| Mental Health Counselor | 101YM0800X | L60630652 | WA | Primary |
Addresses
Primary practice location
2 S 56TH PL Ste 201D
Ridgefield, WA 98642-3427
Mailing address
2 S 56TH PL Ste 201D
Ridgefield, WA 98642-3427
Phone (340) 342-4863
Other names 1
- Ms. Samantha Christine Goodwin
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 |
|---|---|---|---|
| CG60508150 | WA | MD | Mental Health Counselor |
| L60630652 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lacamas Counseling LLC | Mental Health | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1841697604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 S 56TH PL STE 201D",
"city": "RIDGEFIELD",
"state": "WA",
"postal_code": "986423427",
"telephone_number": "340-342-4863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 S 56TH PL STE 201D",
"city": "RIDGEFIELD",
"state": "WA",
"postal_code": "986423427",
"telephone_number": "360-342-4863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "SAMANTHA",
"middle_name": "CHRISTINE",
"name_prefix": "Mrs.",
"credential": "LMHC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-21",
"last_updated": "2023-11-27",
"certification_date": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "CG60508150",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "CG60508150",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "L60630652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMANTHA",
"last_name": "GOODWIN",
"middle_name": "CHRISTINE",
"prefix": "MS.",
"credential": "LMHC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Ridgefield, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.