Active NPI
Samantha Brownell
- Social Worker
- Moscow, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 110512
- Practice address
- 213 N Main St Ste 1B
Moscow, ID 83843-2700 - Phone
- (208) 683-8320
- Fax
- (208) 969-8380
- NPI assigned
- Aug 6, 2024
- Last updated
- Jul 14, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6171142 | ID | |
| Social Worker | 104100000X | 110512 | TX | Primary |
Addresses
Primary practice location
213 N Main St Ste 1B
Moscow, ID 83843-2700
Mailing address
148 S Cole Rd
Boise, ID 83709-0932
Phone (208) 683-8320
Other practice location 1
148 S Cole Rd
Boise, ID 83709-0932
Phone (208) 683-8320
Other practice location 2
411 Main St. Unit F
Kamiah, ID 83536
Phone (208) 683-8320
Other practice location 3
1630 23rd Ave Bldg 2
Lewiston, ID 83501-6350
Phone (208) 746-7784
Other practice location 4
496 Shoup Ave W
Twin Falls, ID 83301-5834
Phone (208) 683-8320
Other practice location 5
509 Trolley Way
Suite 104
Middleton, ID 83644
Phone (208) 683-8320
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 |
|---|---|---|---|
| 6171142 | ID | MD | Mental Health Counselor |
| 110512 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Body & Mind Health Services, LLC | Mental Health | Past | Accepting new patients |
| A Body & Mind Health Services, LLC | Mental Health | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Boise, ID
- NPI 1326501305
-
- Mental Health Counselor
- Boise, ID
- NPI 1891396099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1861222705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 S COLE RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837090932",
"telephone_number": "208-683-8320",
"fax_number": "208-969-8380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 N MAIN ST STE 1B",
"city": "MOSCOW",
"state": "ID",
"postal_code": "838432700",
"telephone_number": "208-683-8320",
"fax_number": "208-969-8380"
}
],
"practiceLocations": [
{
"address_1": "148 S Cole Rd",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837090932",
"country_code": "US",
"telephone_number": "208-683-8320",
"fax_number": "208-969-8380",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "411 Main St. Unit F",
"address_purpose": "LOCATION",
"city": "Kamiah",
"state": "ID",
"postal_code": "83536",
"country_code": "US",
"telephone_number": "208-683-8320",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1630 23rd Ave Bldg 2",
"address_purpose": "LOCATION",
"city": "Lewiston",
"state": "ID",
"postal_code": "835016350",
"country_code": "US",
"telephone_number": "208-746-7784",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "496 Shoup Ave W",
"address_purpose": "LOCATION",
"city": "Twin Falls",
"state": "ID",
"postal_code": "833015834",
"country_code": "US",
"telephone_number": "208-683-8320",
"fax_number": "208-969-8380",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "509 Trolley Way",
"address_2": "Suite 104",
"address_purpose": "LOCATION",
"city": "Middleton",
"state": "ID",
"postal_code": "83644",
"country_code": "US",
"telephone_number": "208-683-8320",
"fax_number": "208-969-8380",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWNELL",
"first_name": "SAMANTHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-06",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ID",
"license": "6171142",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "110512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moscow, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.