Individual provider Active NPI

Samantha J Miles, MSP, CCC-SLP

  • Speech-Language Pathologist
  • Spartanburg, SC
National Provider Identifier
1851844955
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6036 Issued in SC
Practice address
355 Oak Grove Rd
Spartanburg, SC 29301-2537
Phone
(864) 595-4225
NPI assigned
Jul 26, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 6036 SC Primary
Speech-Language Pathologist 235Z00000X SLP15556 AZ

Addresses

Primary practice location

355 Oak Grove Rd
Spartanburg, SC 29301-2537

Mailing address

308 Sundance Way
Spartanburg, SC 29302-3725
Phone (570) 854-6991

Other practice location 1

21045 N 9th Pl Ste 204
Phoenix, AZ 85024-5635
Phone (602) 875-5616

Other identifiers 1

IdentifierTypeStateIssuer
180094MedicaidAZ

Other names 1

  • Samantha Clasen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251014004298 AZ Practitioner - Qualified Speech Language Pathologist 8527555465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
University of South Carolina School of Medicine, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1282 E Geronimo PL
Chandler, AZ 85225-2048

9385 W Donald Dr
Peoria, AZ 85383-2988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Theracare PLLC Speech-Language Pathologist CurrentSince Aug 1, 2025 Accepting new patients
Pediatrics Unlimited Inc Speech-Language Pathologist Past Accepting new patients
Pediatrics Unlimited Inc Speech-Language Pathologist Past Accepting new patients

Locations

2830 E Brown Rd
Ste 1
Mesa, AZ 85213
Phone (480) 830-1188

Organizations & group practices 3

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": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1851844955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 SUNDANCE WAY",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293023725",
            "telephone_number": "570-854-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 OAK GROVE RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293012537",
            "telephone_number": "864-595-4225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21045 N 9th Pl Ste 204",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850245635",
            "country_code": "US",
            "telephone_number": "602-875-5616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILES",
        "first_name": "SAMANTHA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "MSP, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-26",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "6036",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP15556",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180094",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "CLASEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.