Individual provider Active NPI

Samantha Donahoo, S-MFT

  • Mental Health Counselor
  • Kansas City, MO
National Provider Identifier
1841815156
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1511 Westport Rd Ste a
Kansas City, MO 64111-4301
Phone
(816) 390-4201
NPI assigned
Jun 11, 2020
Last updated
Aug 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

1511 Westport Rd Ste a
Kansas City, MO 64111-4301

Mailing address

221 NW 96TH St Apt J204
Kansas City, MO 64155-2354
Phone (816) 390-4201

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.rejuvenatekc.com Health Information Exchange (HIE)

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

NPI Registry JSON

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1841815156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 NW 96TH ST APT J204",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641552354",
            "telephone_number": "816-390-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 WESTPORT RD STE A",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641114301",
            "telephone_number": "816-390-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONAHOO",
        "first_name": "SAMANTHA",
        "credential": "S-MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.rejuvenatekc.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "400 SW Longview Blvd",
            "city": "Lees Summit",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640812103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.